Dr John Edward Spaulding Jr, MD - Medicare Emergency Medicine in Emeryville, CA

Dr John Edward Spaulding Jr, MD is a medicare enrolled "Emergency Medicine" physician in Emeryville, California. His current practice location is 2100 Powell St, Suite 900, Emeryville, California. You can reach out to his office (for appointments etc.) via phone at (510) 350-2600.

Dr John Edward Spaulding Jr is licensed to practice in Georgia (license number 42448) 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 1912918897.

Contact Information

Dr John Edward Spaulding Jr, MD
2100 Powell St, Suite 900,
Emeryville, CA 94608-1826
(510) 350-2600
Not Available

Map and Direction




Physician's Profile

Full NameDr John Edward Spaulding Jr
GenderMale
SpecialityEmergency Medicine
Location2100 Powell St, Emeryville, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912918897
  • Provider Enumeration Date: 08/10/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1850284548
  • Enrollment ID: I20040816000876

Medical Identifiers

Medical identifiers for Dr John Edward Spaulding Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912918897NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 42448 (Georgia)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 John Edward Spaulding Jr allows following entities to bill medicare on his behalf.
Entity NameCep America Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124073721
PECOS PAC ID: 6608056171
Enrollment ID: O20121126000128

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 John Edward Spaulding Jr 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 John Edward Spaulding Jr, MD
2701 N Decatur Rd,
Decatur, GA 30033-5918

Ph: (404) 501-1849
Dr John Edward Spaulding Jr, MD
2100 Powell St, Suite 900,
Emeryville, CA 94608-1826

Ph: (510) 350-2600

Reviews and Comments


Emergency Medicine Doctors in Emeryville, CA

Jeffery J Leinen, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Powell St Ste 900, Emeryville, CA 94608
Phone: 510-350-2600    
Louis P Tran, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2100 Powell St, Suite 900, Emeryville, CA 94608
Phone: 510-350-2600    
Kathryn L Hall-boyer, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2100 Powell St Ste 900, Suite 900, Emeryville, CA 94608
Phone: 510-350-2600    Fax: 510-879-9100
Guisou Mahmoud,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Powell St, Suite 900, Emeryville, CA 94608
Phone: 510-350-2600    
John L Hardin, PAC
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2100 Powell St Ste 900, Emeryville, CA 94608
Phone: 510-350-2673    
James M Montoya, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2100 Powell St, Suite 920, Emeryville, CA 94608
Phone: 510-350-2673    Fax: 510-597-9200
Jaron Duane Ross, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Powell St, Suite 940, Emeryville, CA 94608
Phone: 888-883-7362    Fax: 510-879-9100

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.