Dr Sam Abdul, MD - Medicare Internal Medicine in Charleston, WV

Dr Sam Abdul, MD is a medicare enrolled "Emergency Medicine" physician in Charleston, West Virginia. He graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Cep America Llc and his current practice location is 3200 Maccorkle Ave Se, Charleston, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 388-4170.

Dr Sam Abdul is licensed to practice in Michigan (license number 4301088857) 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 1932187713.

Contact Information

Dr Sam Abdul, MD
3200 Maccorkle Ave Se,
Charleston, WV 25304-1227
(304) 388-4170
Not Available



Physician's Profile

Full NameDr Sam Abdul
GenderMale
SpecialityInternal Medicine
Experience33 Years
Location3200 Maccorkle Ave Se, Charleston, West Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Sam Abdul graduated from medical school in 1991
  NPI Data:
  • NPI Number: 1932187713
  • Provider Enumeration Date: 01/03/2006
  • Last Update Date: 08/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6305853722
  • Enrollment ID: I20070419000563

Medical Identifiers

Medical identifiers for Dr Sam Abdul such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932187713NPI-NPPES
2000361000MedicaidWV
001723882OtherWVWV BCBS
20404OtherWVLICENSE
2803069MedicaidOH
P00456101OtherOHMEDICARE RAIL ROAD
000000538615OtherOHANTHEM
1056712OtherWVWV DWC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 20404 (West Virginia)Secondary
207P00000XEmergency Medicine 4301088857 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Mary's Standish Community HospitalStandish, MIHospital
Mercy Health-st Rita's Medical CenterLima, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cep America Llc6608056171575

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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 Sam Abdul allows following entities to bill medicare on his behalf.
Entity NameHarbor Beach Community Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619059458
PECOS PAC ID: 7214903483
Enrollment ID: O20040908001458

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Entity NameDegara App Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265976971
PECOS PAC ID: 7618251398
Enrollment ID: O20170223001941

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Entity NameEpmg Southern Michigan Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336607126
PECOS PAC ID: 0941536114
Enrollment ID: O20190725001424

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Entity NameCep America Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912687328
PECOS PAC ID: 6608056171
Enrollment ID: O20230815000906

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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 Sam Abdul 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 Sam Abdul, MD
4750 Hempstead Station Dr,
Kettering, OH 45429-5164

Ph: (800) 875-0136
Dr Sam Abdul, MD
3200 Maccorkle Ave Se,
Charleston, WV 25304-1227

Ph: (304) 388-4170

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Emergency Medicine Doctors in Charleston, WV

Barry Michael Mitchell, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 419 Brooks St, Charleston, WV 25301
Phone: 304-395-0401    
Adam Thomas Crawford, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3110 Maccorkle Ave Se, Charleston, WV 25304
Phone: 304-388-7170    Fax: 304-388-4621
Dr. Hunter Nielsen, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 501 Morris St, Charleston, WV 25301
Phone: 304-388-5432    Fax: 304-388-3360
Lauren B Wright,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304
Phone: 304-388-4172    Fax: 304-388-4155
Bradley Nine, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304
Phone: 304-388-5432    
Calvin Huan Yang, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304
Phone: 304-388-4172    Fax: 304-388-4155
Roger Taylor, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 501 Morris St, Charleston, WV 25301
Phone: 304-647-6006    

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