Samuel Medrano, MD is a medicare enrolled "Emergency Medicine" physician in Colusa, California. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1988 and has 37 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Chavez Emergency Physicians Medical Group Inc and his current practice location is
199 E Webster St, Colusa, California. You can reach out to his office (for appointments etc.) via phone at
(530) 458-3283.
Samuel Medrano is licensed to practice in California (license number G68235) 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 1316905334.
Physician's Profile
| Full Name | Samuel Medrano |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 37 Years |
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| Location | 199 E Webster St, Colusa, 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. |
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Medical Education and Training:
- Samuel Medrano attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1988
NPI Data:
- NPI Number: 1316905334
- Provider Enumeration Date: 05/01/2006
- Last Update Date: 05/12/2016
Medicare PECOS Information:
- PECOS PAC ID: 0941113187
- Enrollment ID: I20031112000529
Medical Identifiers
Medical identifiers for Samuel Medrano such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1316905334 | NPI | - | NPPES |
| 00G682350 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | G68235 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Chavez Emergency Physicians Medical Group Inc | 3870897580 | 9 |
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 Medrano allows following entities to bill medicare on his behalf.
| Entity Name | Cep America - California |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023063542
PECOS PAC ID: 6103739131
Enrollment ID: O20031106000520 |
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| Entity Name | Chavez Emergency Physicians Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689045015
PECOS PAC ID: 3870897580
Enrollment ID: O20160201000702 |
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| Entity Name | American Specialty Physicians Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568992923
PECOS PAC ID: 6103198460
Enrollment ID: O20170821003230 |
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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 Medrano 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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Samuel Medrano, MD
1990 N California Blvd, Suite 400,
Walnut Creek, CA 94596-3742
Ph: (925) 225-5837 | Samuel Medrano, MD
199 E Webster St,
Colusa, CA 95932-2954
Ph: (530) 458-3283 |
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