Dr Roland Spurgeon Beverly Iii, MD - Medicare Dermatology in Aliso Viejo, CA

Dr Roland Spurgeon Beverly Iii, MD is a medicare enrolled "Dermatology" physician in Aliso Viejo, California. His current practice location is 24541 Pacific Park Dr, Suite 103, Aliso Viejo, California. You can reach out to his office (for appointments etc.) via phone at (949) 831-3057.

Dr Roland Spurgeon Beverly Iii is licensed to practice in California (license number G65658) 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 1083687776.

Contact Information

Dr Roland Spurgeon Beverly Iii, MD
24541 Pacific Park Dr, Suite 103,
Aliso Viejo, CA 92656-3065
(949) 831-3057
(949) 831-2515



Physician's Profile

Full NameDr Roland Spurgeon Beverly Iii
GenderMale
SpecialityDermatology
Location24541 Pacific Park Dr, Aliso Viejo, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083687776
  • Provider Enumeration Date: 02/11/2006
  • Last Update Date: 05/10/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 0345139739
  • Enrollment ID: I20081201000667

Medical Identifiers

Medical identifiers for Dr Roland Spurgeon Beverly Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083687776NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology G65658 (California)Primary
207ND0101XDermatology - Mohs-micrographic Surgery G65658 (California)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 Roland Spurgeon Beverly Iii allows following entities to bill medicare on his behalf.
Entity NameJ Robert West Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932154788
PECOS PAC ID: 8729990973
Enrollment ID: O20031105000239

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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 Roland Spurgeon Beverly Iii 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 Roland Spurgeon Beverly Iii, MD
24541 Pacific Park Dr, Suite 103,
Aliso Viejo, CA 92656-3065

Ph: (949) 831-3057
Dr Roland Spurgeon Beverly Iii, MD
24541 Pacific Park Dr, Suite 103,
Aliso Viejo, CA 92656-3065

Ph: (949) 831-3057

News Archive

Immunotherapy combination shrinks rare angiosarcoma tumors in 25% of patients

Researchers from SWOG Cancer Research Network, a cancer clinical trials group funded by the National Cancer Institute's Division of Cancer Diagnosis and Treatment, part of the National Institutes of Health, have shown that the immunotherapy combination of ipilimumab and nivolumab shrinks rare angiosarcoma tumors in 25 percent of all patients, with some having an even stronger response to the drug combination.

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Dermatology Doctors in Aliso Viejo, CA


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