Samuel Li, MD is a medicare enrolled "Anesthesiology" physician in Manteca, California. He went to Loma Linda University School Of Medicine and graduated in 1993 and has 33 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Permanente Medical Group Inc and 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
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 1386752475.
Physician's Profile
| Full Name | Samuel Li |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 33 Years |
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| Location | 1205 E North St, Manteca, California |
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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:
- Samuel Li attended and graduated from Loma Linda University School Of Medicine in 1993
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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Permanente Medical Group Inc | 8921910225 | 10968 |
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 |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
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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. 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 |
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