Dr Sam Jayanth Samuel, MD - Medicare Internal Medicine in Olean, NY

Dr Sam Jayanth Samuel, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Olean, New York. His current practice location is 2223 W State St, Olean, New York. You can reach out to his office (for appointments etc.) via phone at (716) 372-5601.

Dr Sam Jayanth Samuel is licensed to practice in New York (license number 233868) 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 1184886004.

Contact Information

Dr Sam Jayanth Samuel, MD
2223 W State St,
Olean, NY 14760-1938
(716) 372-5601
Not Available



Physician's Profile

Full NameDr Sam Jayanth Samuel
GenderMale
SpecialityInternal Medicine - Gastroenterology
Location2223 W State St, Olean, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184886004
  • Provider Enumeration Date: 07/01/2008
  • Last Update Date: 02/17/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 3971566779
  • Enrollment ID: I20041111000383

Medical Identifiers

Medical identifiers for Dr Sam Jayanth Samuel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184886004NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 233868 (New York)Secondary
207RG0100XInternal Medicine - Gastroenterology 233868 (New York)Primary

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 Jayanth Samuel allows following entities to bill medicare on his behalf.
Entity NameOlean General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649296781
PECOS PAC ID: 9133111784
Enrollment ID: O20040401001531

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Entity NameMercy Hospital Of Buffalo
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164464921
PECOS PAC ID: 8729991666
Enrollment ID: O20040702001253

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Entity NameHealth System Physician Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649600081
PECOS PAC ID: 7113150285
Enrollment ID: O20140428000044

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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 Jayanth Samuel 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 Jayanth Samuel, MD
8520 Stahley Rd,
East Amherst, NY 14051-1540

Ph: (716) 636-5651
Dr Sam Jayanth Samuel, MD
2223 W State St,
Olean, NY 14760-1938

Ph: (716) 372-5601

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› Verified 8 days ago


Internal Medicine Doctors in Olean, NY

Dr. Neha Bansal, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 535 Main St, Olean, NY 14760
Phone: 716-372-0141    Fax: 716-372-6421
Arkady Peterman, M.D,
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 535 Main St, Olean, NY 14760
Phone: 716-372-0141    Fax: 716-376-2451
Dr. Zafar K Mirza, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 2223 W State St, Suite 115, Olean, NY 14760
Phone: 716-372-5601    Fax: 716-372-5616
Dr. Munir Ahmed Salimi, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 2223 W State St, Suite 114, Olean, NY 14760
Phone: 716-372-8660    Fax: 716-372-8684
Dr. Zia M Sheikh, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 2211 W State St, Suite 121, Olean, NY 14760
Phone: 716-372-2355    Fax: 716-372-8682
Dr. Prerna Sood, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 535 Main St, Olean, NY 14760
Phone: 716-372-0141    Fax: 716-372-6421

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