Dr Clinton James Masterson, MD - Medicare Emergency Medicine in South Lake Tahoe, CA

Dr Clinton James Masterson, MD is a medicare enrolled "Emergency Medicine" physician in South Lake Tahoe, California. His current practice location is 2170 South Ave, South Lake Tahoe, California. You can reach out to his office (for appointments etc.) via phone at (530) 541-3420.

Dr Clinton James Masterson is licensed to practice in California (license number A100433) 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 1407067168.

Contact Information

Dr Clinton James Masterson, MD
2170 South Ave,
South Lake Tahoe, CA 96150-7026
(530) 541-3420
Not Available



Physician's Profile

Full NameDr Clinton James Masterson
GenderMale
SpecialityEmergency Medicine
Location2170 South Ave, South Lake Tahoe, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407067168
  • Provider Enumeration Date: 05/24/2007
  • Last Update Date: 10/19/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5294824595
  • Enrollment ID: I20080317000250

Medical Identifiers

Medical identifiers for Dr Clinton James Masterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407067168NPI-NPPES
1407067168MedicaidNV
1407067168MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 234413 (New York)Secondary
207P00000XEmergency Medicine 44775 (Colorado)Secondary
207P00000XEmergency Medicine A100433 (California)Primary
207P00000XEmergency Medicine 12330 (Nevada)Secondary
207P00000XEmergency Medicine M7408 (Texas)Secondary

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. Dr Clinton James Masterson allows following entities to bill medicare on his behalf.
Entity NameCarson Tahoe Emergency Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396822821
PECOS PAC ID: 7416930573
Enrollment ID: O20040609001476

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Entity NameTeam Physicians Of Nevada-scherr, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073942116
PECOS PAC ID: 4082844147
Enrollment ID: O20140311001536

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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. Dr Clinton James Masterson 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
Dr Clinton James Masterson, MD
1111 Emerald Bay Rd,
South Lake Tahoe, CA 96150-6207

Ph: (530) 543-5652
Dr Clinton James Masterson, MD
2170 South Ave,
South Lake Tahoe, CA 96150-7026

Ph: (530) 541-3420

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Emergency Medicine Doctors in South Lake Tahoe, CA

Michael Corbin Schankerman, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150
Phone: 530-541-3420    
Michael R Mclaughlin, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150
Phone: 530-541-3420    
Dr. Amy Pape Anton, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150
Phone: 530-541-3420    
Dr. Taylor Brooke Myatt, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150
Phone: 530-541-3420    
Dr. Kandra T Yee, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150
Phone: 530-541-3420    
Dr. Michael E. R. Habicht, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150
Phone: 530-541-3420    

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