Dr Clinton James Masterson, MD in South Lake Tahoe, CA

Dr Clinton James Masterson, MD is a medicare enrolled "Emergency Medicine" physician in South Lake Tahoe, California. His current practice location is 2170 South Ave, South Lake Tahoe, California. You can reach out to his office (for appointments etc.) via phone at (530) 541-3420.

Dr Clinton James Masterson is licensed to practice in California (license number A100433) 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 1407067168.

Contact Information

	Dr Clinton James Masterson, MD
	2170 South Ave, South Lake Tahoe, CA 96150-7026
	(530) 541-3420
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Clinton James Masterson
Gender	Male
Speciality	Emergency Medicine
Location	2170 South Ave, South Lake Tahoe, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407067168
Provider Enumeration Date: 05/24/2007
Last Update Date: 10/19/2020

Medicare PECOS Information:

PECOS PAC ID: 5294824595
Enrollment ID: I20080317000250

Medical Identifiers

Medical identifiers for Dr Clinton James Masterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407067168	NPI	-	NPPES
1407067168	Medicaid	NV
1407067168	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	234413 (New York)	Secondary
207P00000X	Emergency Medicine	44775 (Colorado)	Secondary
207P00000X	Emergency Medicine	A100433 (California)	Primary
207P00000X	Emergency Medicine	12330 (Nevada)	Secondary
207P00000X	Emergency Medicine	M7408 (Texas)	Secondary

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 Clinton James Masterson allows following entities to bill medicare on his behalf.

Entity Name	Carson Tahoe Emergency Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396822821 PECOS PAC ID: 7416930573 Enrollment ID: O20040609001476

Entity Name	Team Physicians Of Nevada-scherr, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073942116 PECOS PAC ID: 4082844147 Enrollment ID: O20140311001536

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 Clinton James Masterson 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
Dr Clinton James Masterson, MD 1111 Emerald Bay Rd, South Lake Tahoe, CA 96150-6207 Ph: (530) 543-5652	Dr Clinton James Masterson, MD 2170 South Ave, South Lake Tahoe, CA 96150-7026 Ph: (530) 541-3420

Reviews and Comments

Emergency Medicine Doctors in South Lake Tahoe, CA

Michael R Mclaughlin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-541-3420
Dr. Amy Pape Anton, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-541-3420
Dr. Taylor Brooke Myatt, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-541-3420
Dr. Kandra T Yee, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-541-3420
Dr. Michael E. R. Habicht, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-541-3420
Raymond Lee Stillwell, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-541-3420

Dr Clinton James Masterson, MD - Medicare Emergency Medicine in South Lake Tahoe, CA