Elden Isaac Lopez Samayoa, MD - Medicare Pediatrics in Pasco, WA

Elden Isaac Lopez Samayoa, MD is a medicare enrolled "Pediatrics" physician in Pasco, Washington. His current practice location is 4719 W Margaret St, Pasco, Washington. You can reach out to his office (for appointments etc.) via phone at (909) 486-3206.

Elden Isaac Lopez Samayoa is licensed to practice in Washington (license number MD00027394) 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 1699752295.

Contact Information

Elden Isaac Lopez Samayoa, MD
4719 W Margaret St,
Pasco, WA 99301-2822
(909) 486-3206
Not Available



Physician's Profile

Full NameElden Isaac Lopez Samayoa
GenderMale
SpecialityPediatrics
Location4719 W Margaret St, Pasco, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699752295
  • Provider Enumeration Date: 12/27/2005
  • Last Update Date: 12/08/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 6608764741
  • Enrollment ID: I20151130000164

Medical Identifiers

Medical identifiers for Elden Isaac Lopez Samayoa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699752295NPI-NPPES
1059633MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD00027394 (Washington)Primary
207Q00000XFamily Medicine A49982 (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. Elden Isaac Lopez Samayoa allows following entities to bill medicare on his behalf.
Entity NameSouthern Monterey County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114917564
PECOS PAC ID: 7719883461
Enrollment ID: O20050216000803

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Entity NameSouthern Monterey County Memorial Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1114917564
PECOS PAC ID: 7719883461
Enrollment ID: O20200521000977

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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. Elden Isaac Lopez Samayoa 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
Elden Isaac Lopez Samayoa, MD
4719 W Margaret St,
Pasco, WA 99301-2822

Ph: (909) 486-3206
Elden Isaac Lopez Samayoa, MD
4719 W Margaret St,
Pasco, WA 99301-2822

Ph: (909) 486-3206

News Archive

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Pediatrics Doctors in Pasco, WA

Dr. Rolando Llanes Cayetano, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 531 W Park St, Suite #3, Pasco, WA 99301
Phone: 509-545-9012    Fax: 509-545-9373
Tamara M Cooks, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 515 W Court St, Pasco, WA 99301
Phone: 509-547-2204    Fax: 509-542-8836
Dr. Ziba Ghanbari Iraee, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9605 Sandifur Pkwy, Pasco, WA 99301
Phone: 509-942-3170    Fax: 509-942-3203
Dr. Aaron Scott Richardson, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9605 Sandifur Pkwy, Pasco, WA 99301
Phone: 509-942-3627    Fax: 509-942-3203
Maria N Guevara, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 515 W Court St, Pasco, WA 99301
Phone: 509-547-2204    Fax: 509-545-3960
Sean Patrick Brady, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9605 Sandifur Parkway, Pasco, WA 99301
Phone: 509-942-3170    Fax: 509-543-9795
Dr. Paolo Antonio De Belen De Vera, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 7425 Wrigley Dr Ste 101, Pasco, WA 99301
Phone: 509-546-8399    

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