Dr Bonnie Lauren Samuelson, OD - Medicare Optometrist in Newport Beach, CA

Dr Bonnie Lauren Samuelson, OD is a medicare enrolled "Optometrist" provider in Newport Beach, California. She went to Stanford University School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Optometry. She is a member of the group practice David B Rosenblum Od Inc, Nusite Optometry and her current practice location is 21161 Newport Coast Dr, Newport Beach, California. You can reach out to her office (for appointments etc.) via phone at (949) 640-4733.

Dr Bonnie Lauren Samuelson is licensed to practice in California (license number 34540) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073139291.

Contact Information

Dr Bonnie Lauren Samuelson, OD
21161 Newport Coast Dr,
Newport Beach, CA 92657-1123
(949) 640-4733
(949) 287-0186

Map and Direction




Healthcare Provider's Profile

Full NameDr Bonnie Lauren Samuelson
GenderFemale
SpecialityOptometry
Experience9 Years
Location21161 Newport Coast Dr, Newport Beach, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Bonnie Lauren Samuelson attended and graduated from Stanford University School Of Medicine in 2015
  NPI Data:
  • NPI Number: 1073139291
  • Provider Enumeration Date: 06/23/2020
  • Last Update Date: 06/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8820414337
  • Enrollment ID: I20200814000598

Medical Identifiers

Medical identifiers for Dr Bonnie Lauren Samuelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073139291NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 34540 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
David B Rosenblum Od Inc11535502643
Nusite Optometry81233828844

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. Dr Bonnie Lauren Samuelson allows following entities to bill medicare on her behalf.
Provider NameDavid B Rosenblum Od Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1720239288
PECOS PAC ID: 1153550264
Enrollment ID: O20140213001102
Provider NameNusite Optometry
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1750886073
PECOS PAC ID: 8123382884
Enrollment ID: O20180503002276

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. Dr Bonnie Lauren Samuelson 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 AddressPractice Location Address
Dr Bonnie Lauren Samuelson, OD
9862 Kings Canyon Dr,
Huntington Beach, CA 92646-4829

Ph: (714) 745-9312
Dr Bonnie Lauren Samuelson, OD
21161 Newport Coast Dr,
Newport Beach, CA 92657-1123

Ph: (949) 640-4733

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.