Dr Connor William Haysbert, MD - Medicare Pediatrics in Scotts Valley, CA

Dr Connor William Haysbert, MD is a medicare enrolled "Pediatrics" physician in Scotts Valley, California. His current practice location is 5615 Scotts Valley Dr, Scotts Valley, California. You can reach out to his office (for appointments etc.) via phone at (831) 430-2700.

Dr Connor William Haysbert is licensed to practice in California (license number A183499) 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 1013415116.

Contact Information

Dr Connor William Haysbert, MD
5615 Scotts Valley Dr,
Scotts Valley, CA 95066-3492
(831) 430-2700
Not Available

Map and Direction




Physician's Profile

Full NameDr Connor William Haysbert
GenderMale
SpecialityPediatrics
Location5615 Scotts Valley Dr, Scotts Valley, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013415116
  • Provider Enumeration Date: 01/24/2018
  • Last Update Date: 11/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3779956297
  • Enrollment ID: I20230303001722

Medical Identifiers

Medical identifiers for Dr Connor William Haysbert such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013415116NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics A183499 (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. Dr Connor William Haysbert allows following entities to bill medicare on his behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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 Connor William Haysbert 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 Connor William Haysbert, MD
4998 Perceptive Way,
Sacramento, CA 95842-3634

Ph: (916) 834-5912
Dr Connor William Haysbert, MD
5615 Scotts Valley Dr,
Scotts Valley, CA 95066-3492

Ph: (831) 430-2700

Reviews and Comments


Pediatrics Doctors in Scotts Valley, CA

Dr. Beth Burroughs Abidi, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 100 Enterprise Way Ste C110, Scotts Valley, CA 95066
Phone: 831-465-7800    Fax: 831-464-7044
Nancy Jean Swartz,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 209 Bean Creek Rd, Scotts Valley, CA 95066
Phone: 408-891-2399    

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.