Mr Richard Gabriel Samedra, RN in Placentia, CA

Mr Richard Gabriel Samedra, RN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Placentia, California. His current practice location is 123 Orange Grove Ave, Placentia, California. You can reach out to his office (for appointments etc.) via phone at (949) 566-4308.

Mr Richard Gabriel Samedra is licensed to practice in California (license number 95030301) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093561904.

Contact Information

	Mr Richard Gabriel Samedra, RN
	123 Orange Grove Ave, Placentia, CA 92870-4848
	(949) 566-4308
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Richard Gabriel Samedra
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	123 Orange Grove Ave, Placentia, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093561904
Provider Enumeration Date: 04/30/2024
Last Update Date: 01/03/2025

Medicare PECOS Information:

PECOS PAC ID: 2163957176
Enrollment ID: I20241127004205

Medical Identifiers

Medical identifiers for Mr Richard Gabriel Samedra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093561904	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	95128702 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95030301 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Richard Gabriel Samedra allows following entities to bill medicare on his behalf.

Entity Name	Medard Sison Np, A Professional Nursing Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528693579 PECOS PAC ID: 5294151635 Enrollment ID: O20200817002415

Entity Name	Bje Esterman P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780435628 PECOS PAC ID: 2062951205 Enrollment ID: O20240830003581

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Richard Gabriel Samedra is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Richard Gabriel Samedra, RN 123 Orange Grove Ave, Placentia, CA 92870-4848 Ph: (949) 566-4308	Mr Richard Gabriel Samedra, RN 123 Orange Grove Ave, Placentia, CA 92870-4848 Ph: (949) 566-4308

Reviews and Comments

Nurse Practitioner Nurses in Placentia, CA

Donna Lee Mckenzie, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 Mount Vernon Way, Placentia, CA 92870 Phone: 714-993-5058 Fax: 714-993-5058
Mrs. Menchu Castillo Ignacio, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1855 E Belmont Ct, Placentia, CA 92870 Phone: 626-221-3477
Christine Taheran, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 Downey Lane, Placentia, CA 92870 Phone: 714-494-5850
Uchenna Eke, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 151 N Kraemer Blvd Ste 100, Placentia, CA 92870 Phone: 714-577-2271
Ann Margaret Gibson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 701 W Kimberly Ave Ste 120, Placentia, CA 92870 Phone: 714-364-6500
Mr. Andrew Crystian Aguirre, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 249 Tiger Ln, Placentia, CA 92870 Phone: 714-305-2119
Crystal Gayle Holbrook, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 151 N Kraemer Blvd, Suite 100, Placentia, CA 92870 Phone: 714-577-2271

Mr Richard Gabriel Samedra, RN - Medicare Nurse Practitioner in Placentia, CA