Mr Samuel Jesus Rosero Garcia, MD is a medicare enrolled "General Practice" physician in Lakeside, Arizona. He graduated from medical school in 2000 and has 25 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Navajo Health Foundation-sage Memorial Hospital, Inc. and his current practice location is
300 W. White Mountain Blvd, Suite D, Lakeside, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 368-4547.
Mr Samuel Jesus Rosero Garcia is licensed to practice in Puerto Rico (license number 019230) 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 1912395807.
Physician's Profile
| Full Name | Mr Samuel Jesus Rosero Garcia |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 25 Years |
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| Location | 300 W. White Mountain Blvd, Suite D, Lakeside, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Samuel Jesus Rosero Garcia graduated from medical school in 2000
NPI Data:
- NPI Number: 1912395807
- Provider Enumeration Date: 12/31/2014
- Last Update Date: 06/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 0244506418
- Enrollment ID: I20241127002016
Medical Identifiers
Medical identifiers for Mr Samuel Jesus Rosero Garcia such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1912395807 | NPI | - | NPPES |
| 019230 | Other | PR | PR LICENSURE BOARD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 61056 (Arizona) | Secondary |
| 208D00000X | General Practice | 61056 (Arizona) | Secondary |
| 208D00000X | General Practice | 019230 (Puerto Rico) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Navajo Health Foundation-sage Memorial Hospital, Inc. | 2163332347 | 56 |
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. Mr Samuel Jesus Rosero Garcia allows following entities to bill medicare on his behalf.
| Entity Name | Navajo Health Foundation-sage Memorial Hospital, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477735777 PECOS PAC ID: 2163332347 Enrollment ID: O20040326001225 |
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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. Mr Samuel Jesus Rosero Garcia 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 |
Mr Samuel Jesus Rosero Garcia, MD 300 W. White Mountain Blvd, Suite D, Lakeside, AZ 85929 Ph: (928) 368-4547 | Mr Samuel Jesus Rosero Garcia, MD 300 W. White Mountain Blvd, Suite D, Lakeside, AZ 85929 Ph: (928) 368-4547 |
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