Dr Edmund Sami Sabanegh Jr, MD is a medicare enrolled "Urology" physician in Lackland Afb, Texas. He went to University Of Virginia School Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Urology. He is a member of the group practice Guthrie Medical Group Pc and his current practice location is
2200 Berquist Dr, Ste 1, Credentials/cmc, Lackland Afb, Texas. You can reach out to his office (for appointments etc.) via phone at
(210) 292-6002.
Dr Edmund Sami Sabanegh Jr is licensed to practice in Virginia (license number 0101040527) 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 1669451506.
Physician's Profile
Full Name | Dr Edmund Sami Sabanegh Jr |
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Gender | Male |
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Speciality | Urology |
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Experience | 39 Years |
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Location | 2200 Berquist Dr, Lackland Afb, Texas |
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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:
- Dr Edmund Sami Sabanegh Jr attended and graduated from University Of Virginia School Of Medicine in 1985
NPI Data:
- NPI Number: 1669451506
- Provider Enumeration Date: 01/10/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9739184839
- Enrollment ID: I20211112000197
Medical Identifiers
Medical identifiers for Dr Edmund Sami Sabanegh Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669451506 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 0101040527 (Virginia) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Guthrie Medical Group Pc | 6002728656 | 637 |
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 Edmund Sami Sabanegh Jr allows following entities to bill medicare on his behalf.
Entity Name | Guthrie Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962451153 PECOS PAC ID: 6002728656 Enrollment ID: O20040301000571 |
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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 Edmund Sami Sabanegh Jr 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 |
Dr Edmund Sami Sabanegh Jr, MD 8602 Boutry Hts, San Antonio, TX 78254-2300 Ph: (210) 680-5856 | Dr Edmund Sami Sabanegh Jr, MD 2200 Berquist Dr, Ste 1, Credentials/cmc, Lackland Afb, TX 78236-5300 Ph: (210) 292-6002 |
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