Dr Samuel Roy Cornell, DC, ATC - Medicare Chiropractor in Mission Viejo, CA

Dr Samuel Roy Cornell, DC, ATC is a medicare enrolled "Chiropractor" provider in Mission Viejo, California. He went to Los Angeles College Of Chiropractic and graduated in 2021 and has 3 years of diverse experience with area of expertise as Chiropractic. He is a member of the group practice Arvada Sport And Spine Group and his current practice location is 24002 Via Fabricante Ste 501, Mission Viejo, California. You can reach out to his office (for appointments etc.) via phone at (949) 454-8811.

Dr Samuel Roy Cornell is licensed to practice in California (license number DC36279) 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 1255880308.

Contact Information

Dr Samuel Roy Cornell, DC, ATC
24002 Via Fabricante Ste 501,
Mission Viejo, CA 92691-3934
(949) 454-8811
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Samuel Roy Cornell
GenderMale
SpecialityChiropractic
Experience3 Years
Location24002 Via Fabricante Ste 501, Mission Viejo, 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 Samuel Roy Cornell attended and graduated from Los Angeles College Of Chiropractic in 2021
  NPI Data:
  • NPI Number: 1255880308
  • Provider Enumeration Date: 09/30/2016
  • Last Update Date: 02/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7719371244
  • Enrollment ID: I20230210001463

Medical Identifiers

Medical identifiers for Dr Samuel Roy Cornell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255880308NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor DC36279 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Arvada Sport And Spine Group15573666063

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 Samuel Roy Cornell allows following entities to bill medicare on his behalf.
Provider NameArvada Sport And Spine Group
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1215953864
PECOS PAC ID: 1557366606
Enrollment ID: O20060922000342

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 Samuel Roy Cornell 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 Samuel Roy Cornell, DC, ATC
39 Feldspar Way,
Rancho Santa Margarita, CA 92688-3518

Ph: (949) 338-3880
Dr Samuel Roy Cornell, DC, ATC
24002 Via Fabricante Ste 501,
Mission Viejo, CA 92691-3934

Ph: (949) 454-8811

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.