Samuel G Wilson, MD - Medicare Emergency Medicine in Hesperia, CA

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Samuel G Wilson, MD is a medicare enrolled "Emergency Medicine" physician in Hesperia, California. He went to Loma Linda University School Of Medicine and graduated in 1984 and has 42 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Keen Medical Group Inc and his current practice location is 12021 Jacaranda Ave, 101, Hesperia, California. You can reach out to his office (for appointments etc.) via phone at (760) 956-5057.

Samuel G Wilson is licensed to practice in California (license number G55580) 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 1912948019.

Contact Information

Samuel G Wilson, MD
12021 Jacaranda Ave, 101,
Hesperia, CA 92345-4956
(760) 956-5057
Not Available

Map and Direction




Physician's Profile

Full NameSamuel G Wilson
GenderMale
SpecialityEmergency Medicine
Experience42 Years
Location12021 Jacaranda Ave, Hesperia, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samuel G Wilson attended and graduated from Loma Linda University School Of Medicine in 1984
  NPI Data:
  • NPI Number: 1912948019
  • Provider Enumeration Date: 06/09/2006
  • Last Update Date: 03/03/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 6103958319
  • Enrollment ID: I20100722000772

Medical Identifiers

Medical identifiers for Samuel G Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912948019NPI-NPPES
00G555800MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine G55580 (California)Primary
208D00000XGeneral Practice G55580 (California)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Keen Medical Group Inc95371951442

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. Samuel G Wilson allows following entities to bill medicare on his behalf.
Entity NameCounty Of San Bernardino
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164467023
PECOS PAC ID: 3870499130
Enrollment ID: O20031209000420
Entity NameFaculty Physicians And Surgeons Of Llusm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205009917
PECOS PAC ID: 1153227814
Enrollment ID: O20031211000981
Entity NameChase Dennis Emergency Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033152350
PECOS PAC ID: 2264345172
Enrollment ID: O20040729000498
Entity NameKeen Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053456962
PECOS PAC ID: 9537195144
Enrollment ID: O20050714001024

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. Samuel G Wilson 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
Samuel G Wilson, MD
12021 Jacaranda Ave,
Hesperia, CA 92345-4978

Ph: (760) 956-5057		Samuel G Wilson, MD
12021 Jacaranda Ave, 101,
Hesperia, CA 92345-4956

Ph: (760) 956-5057

Reviews and Comments


Emergency Medicine Doctors in Hesperia, CA

Artin Gevorkian, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 17095 Main St, Hesperia, CA 92345
Phone: 760-948-6606    

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.