Samuel Li, MD in Manteca, CA - Medicare Anesthesiology

Samuel Li, MD is a medicare enrolled "Anesthesiology" physician in Manteca, California. His current practice location is 1205 E North St, Manteca, California. You can reach out to his office (for appointments etc.) via phone at (209) 823-3111.

Samuel Li is licensed to practice in California (license number G81427) 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 1386752475.

Contact Information

	Samuel Li, MD
	1205 E North St, Manteca, CA 95336-4932
	(209) 823-3111
	Not Available

Map and Direction

Physician's Profile

Full Name	Samuel Li
Gender	Male
Speciality	Anesthesiology
Location	1205 E North St, Manteca, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386752475
Provider Enumeration Date: 08/28/2006
Last Update Date: 01/21/2022

Medicare PECOS Information:

PECOS PAC ID: 1658391677
Enrollment ID: I20051205000793

Medical Identifiers

Medical identifiers for Samuel Li such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386752475	NPI	-	NPPES
00G814270	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	G81427 (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. Samuel Li allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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. Samuel Li 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
Samuel Li, MD 10693 Wiles Rd Pmb 137, Coral Springs, FL 33076-2014 Ph: (954) 255-5200	Samuel Li, MD 1205 E North St, Manteca, CA 95336-4932 Ph: (209) 823-3111

Reviews and Comments

Anesthesiology Doctors in Manteca, CA

Saeed Gholami, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1205 E North St, Manteca, CA 95336 Phone: 209-823-3111
John F Cruikshank Iii, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1205 E North St, Manteca, CA 95336 Phone: 209-823-3111
Steven Eugene Lee, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1205 E North St, Manteca, CA 95336 Phone: 209-823-3111

Samuel Li, MD - Medicare Anesthesiology in Manteca, CA