Samuel Gray Deem, DO - Medicare Urology in Charleston, WV

Samuel Gray Deem, DO is a medicare enrolled "Urology" physician in Charleston, West Virginia. He went to West Virginia School Of Osteopathic Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Urology. He is a member of the group practice Charleston Area Medical Center Inc and his current practice location is 3100 Maccorkle Ave Se, Suite 602, Charleston, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 388-5120.

Samuel Gray Deem is licensed to practice in West Virginia (license number 2176) 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 1700909702.

Contact Information

Samuel Gray Deem, DO
3100 Maccorkle Ave Se, Suite 602,
Charleston, WV 25304-1223
(304) 388-5120
(304) 388-5125



Physician's Profile

Full NameSamuel Gray Deem
GenderMale
SpecialityUrology
Experience20 Years
Location3100 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:
  • Samuel Gray Deem attended and graduated from West Virginia School Of Osteopathic Medicine in 2004
  NPI Data:
  • NPI Number: 1700909702
  • Provider Enumeration Date: 04/06/2007
  • Last Update Date: 12/14/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2860580610
  • Enrollment ID: I20071113000323

Medical Identifiers

Medical identifiers for Samuel Gray Deem such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700909702NPI-NPPES
P01087428OtherWVRAILROAD MEDICARE
3810010649MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 2176 (West Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Charleston Area Medical CenterCharleston, WVHospital
Roane General HospitalSpencer, WVHospital
Logan Regional Medical CenterLogan, WVHospital
Raleigh General HospitalBeckley, WVHospital
Summersville Regional Medical CenterSummersville, WVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Charleston Area Medical Center Inc3375441637675

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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. Samuel Gray Deem allows following entities to bill medicare on his behalf.
Entity NameCharleston Area Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124248752
PECOS PAC ID: 3375441637
Enrollment ID: O20031223000426

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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. Samuel Gray Deem 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
Samuel Gray Deem, DO
3100 Maccorkle Ave Se Ste 602,
Charleston, WV 25304

Ph: (304) 388-5280
Samuel Gray Deem, DO
3100 Maccorkle Ave Se, Suite 602,
Charleston, WV 25304-1223

Ph: (304) 388-5120

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Urology Doctors in Charleston, WV

Ross Samuel Oliver Jr., M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 2335 Chesterfield Avenue,, Suite 101, Charleston, WV 25304
Phone: 304-344-3785    Fax: 304-344-3765
Rodney D. Dean, MD
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 66 Quarry Ridge, Charleston, WV 25304
Phone: 304-330-4865    
James P. Tierney, DO
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 11 Courtney Drive, Charleston, WV 25304
Phone: 304-925-8521    Fax: 304-925-8523
Bashir R. Sankari, M.D.
Urology
Medicare: Medicare Enrolled
Practice Location: 501 Morris Street, 5 West, Camc Renal Transplant Center, Charleston, WV 25301
Phone: 304-388-7823    Fax: 304-388-7820
Shozo Kurusu, MD
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 1313 Quarrier St, Charleston, WV 25301
Phone: 304-792-6275    
Dr. Hugh Anthony Smith, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 470 Silver Maple Rdg Apt 10, Charleston, WV 25306
Phone: 304-388-5432    

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