Akpomudiare Samuel Otuguor, MD is a medicare enrolled "Family Medicine" physician in Hapeville, Georgia. He graduated from medical school in 1997 and has 28 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Concord Medical Group Pllc, Prmc Healthcare Group, Inc., Concord Medical Group Of Texas Pllc and his current practice location is
535 N Central Ave, Hapeville, Georgia. You can reach out to his office (for appointments etc.) via phone at
(404) 761-4040.
Akpomudiare Samuel Otuguor is licensed to practice in Iowa (license number 38788) 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 1154534303.
Physician's Profile
Full Name | Akpomudiare Samuel Otuguor |
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Gender | Male |
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Speciality | Family Practice |
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Experience | 28 Years |
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Location | 535 N Central Ave, Hapeville, Georgia |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Akpomudiare Samuel Otuguor graduated from medical school in 1997
NPI Data:
- NPI Number: 1154534303
- Provider Enumeration Date: 05/07/2007
- Last Update Date: 02/20/2020
Medicare PECOS Information:
- PECOS PAC ID: 1052468972
- Enrollment ID: I20211214003071
Medical Identifiers
Medical identifiers for Akpomudiare Samuel Otuguor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154534303 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | MD.38189 (Alabama) | Secondary |
207Q00000X | Family Medicine | 4301086102 (Michigan) | Secondary |
207Q00000X | Family Medicine | 65599 (Georgia) | Secondary |
208M00000X | Hospitalist | 38189 (Alabama) | Secondary |
207Q00000X | Family Medicine | 38788 (Iowa) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Concord Medical Group Pllc | 0446296818 | 125 |
Prmc Healthcare Group, Inc. | 6406919901 | 37 |
Concord Medical Group Of Texas Pllc | 7810117223 | 258 |
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. Akpomudiare Samuel Otuguor allows following entities to bill medicare on his behalf.
Entity Name | Concord Medical Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
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Entity Name | Prmc Healthcare Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457514648 PECOS PAC ID: 6406919901 Enrollment ID: O20090109000317 |
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Entity Name | Concord Medical Group Of Texas Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
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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. Akpomudiare Samuel Otuguor 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 Address | Practice Location Address |
Akpomudiare Samuel Otuguor, MD 535 N Central Ave, Hapeville, GA 30354-1603 Ph: (404) 761-4040 | Akpomudiare Samuel Otuguor, MD 535 N Central Ave, Hapeville, GA 30354-1603 Ph: (404) 761-4040 |
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