Michael A Newdow, MD is a medicare enrolled "Emergency Medicine" physician in Nice, California. His current practice location is
3534 E State Hwy 20 Ste 4, Nice, California. You can reach out to his office (for appointments etc.) via phone at
(707) 721-4317.
Michael A Newdow is licensed to practice in California (license number G48913) 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 1245265966.
Physician's Profile
| Full Name | Michael A Newdow |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 3534 E State Hwy 20 Ste 4, Nice, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1245265966
- Provider Enumeration Date: 07/11/2006
- Last Update Date: 09/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 1456378835
- Enrollment ID: I20051025000645
Medical Identifiers
Medical identifiers for Michael A Newdow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245265966 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | G48913 (California) | Secondary |
| 207P00000X | Emergency Medicine | 108085 (Missouri) | Secondary |
| 207P00000X | Emergency Medicine | 15151 (Mississippi) | Secondary |
| 207RA0401X | Internal Medicine - Addiction Medicine | G48913 (California) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | G48913 (California) | Secondary |
| 261QA1903X | Clinic/center - Ambulatory Surgical | G48913 (California) | Secondary |
| 208D00000X | General Practice | G48913 (California) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | G48913 (California) | Secondary |
| 207P00000X | Emergency Medicine | G48913 (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. Michael A Newdow allows following entities to bill medicare on his behalf.
| Entity Name | Southern Humboldt Community Healthcare District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003819376
PECOS PAC ID: 8820982879
Enrollment ID: O20100106000632 |
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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. Michael A Newdow 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 |
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Michael A Newdow, MD
Po Box 248,
Nice, CA 95464-0248
Ph: (916) 201-6078 | Michael A Newdow, MD
3534 E State Hwy 20 Ste 4,
Nice, CA 95464-8573
Ph: (707) 721-4317 |
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