Dr Robert Matthew Carroll, MD - Medicare Hematology in Newport Beach, CA

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Dr Robert Matthew Carroll, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Newport Beach, California. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Hematology. He is a member of the group practice Hoag Clinic and his current practice location is 20162 Sw Birch St, Suite 200, Newport Beach, California. You can reach out to his office (for appointments etc.) via phone at (949) 553-3330.

Dr Robert Matthew Carroll is licensed to practice in California (license number A69851) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295875854.

Contact Information

Dr Robert Matthew Carroll, MD
20162 Sw Birch St, Suite 200,
Newport Beach, CA 92660-0787
(949) 553-3330
(949) 631-9012

Map and Direction




Physician's Profile

Full NameDr Robert Matthew Carroll
GenderMale
SpecialityHematology
Experience23 Years
Location20162 Sw Birch St, Newport Beach, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Robert Matthew Carroll graduated from medical school in 2001
  NPI Data:
  • NPI Number: 1295875854
  • Provider Enumeration Date: 02/06/2007
  • Last Update Date: 05/13/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 8123058435
  • Enrollment ID: I20101005000142

Medical Identifiers

Medical identifiers for Dr Robert Matthew Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295875854NPI-NPPES
00A698510OtherCABLUESHIELD OF CALIFORNIA
AETNAOtherCA7861689
WA69851AOtherCAMEDICARE PPIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RH0003XInternal Medicine - Hematology & Oncology A69851 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hoag Memorial Hospital PresbyterianNewport beach, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hoag Clinic3274872064329

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 Robert Matthew Carroll allows following entities to bill medicare on his behalf.
Entity NameUniversity Of California Irvine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598790529
PECOS PAC ID: 5395658181
Enrollment ID: O20031107000431
Entity NameUc Regents
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760430847
PECOS PAC ID: 7416869516
Enrollment ID: O20031118000906
Entity NameHoag Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942799523
PECOS PAC ID: 3274872064
Enrollment ID: O20190221001936

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 Robert Matthew Carroll 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 Robert Matthew Carroll, MD
20162 Sw Birch St, Suite 300,
Newport Beach, CA 92660-0787

Ph: (949) 553-3330		Dr Robert Matthew Carroll, MD
20162 Sw Birch St, Suite 200,
Newport Beach, CA 92660-0787

Ph: (949) 553-3330

Reviews and Comments


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Brian Kong, M.D.
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Dr. Leslie Kennerly Meserve, M.D.
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Phone: 949-558-0501    Fax: 949-558-0502
Bhavini Jashvant Jaiswal, M.D
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Practice Location: 1 Hoag Dr, Critical Care Department Box 6100, Newport Beach, CA 92663
Phone: 480-227-1318    

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).

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