Dr Gloria Sam, MD in Fayetteville, AR - Medicare Family Practice

Dr Gloria Sam, MD is a medicare enrolled "Family Medicine" physician in Fayetteville, Arkansas. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice El Paso County Hospital District and her current practice location is 1125 N College Ave, Fayetteville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 713-8000.

Dr Gloria Sam is licensed to practice in Arkansas (license number E-9648) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366854614.

Contact Information

	Dr Gloria Sam, MD
	1125 N College Ave, Fayetteville, AR 72703-1908
	(479) 713-8000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Gloria Sam
Gender	Female
Speciality	Family Practice
Experience	10 Years
Location	1125 N College Ave, Fayetteville, Arkansas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Gloria Sam graduated from medical school in 2014

NPI Data:

NPI Number: 1366854614
Provider Enumeration Date: 05/21/2014
Last Update Date: 09/01/2023

Medicare PECOS Information:

PECOS PAC ID: 3870801574
Enrollment ID: I20171121000292

Medical Identifiers

Medical identifiers for Dr Gloria Sam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366854614	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	E-9648 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Medical Center Of El Paso	El paso, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
El Paso County Hospital District	2365431509	128

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 Gloria Sam allows following entities to bill medicare on her behalf.

Entity Name	El Paso County Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316936990 PECOS PAC ID: 2365431509 Enrollment ID: O20040511001452

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 Gloria Sam 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 Gloria Sam, MD 1125 N College Ave, Fayetteville, AR 72703-1908 Ph: (479) 713-8000	Dr Gloria Sam, MD 1125 N College Ave, Fayetteville, AR 72703-1908 Ph: (479) 713-8000

Reviews and Comments

Family Medicine Doctors in Fayetteville, AR

Mr. Eric P B Goodspeed, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703 Phone: 479-463-7102 Fax: 479-463-7864
Dustin Hoover, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 767 W North St, Fayetteville, AR 72701 Phone: 479-966-5088 Fax: 479-282-0469
Dr. Larry D Coker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3399 Black Forest Dr, Suite 2, Fayetteville, AR 72704 Phone: 479-757-5056 Fax: 479-757-5057
Dr. Carol A Fossey, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 525 N Garland Ave, Fayetteville, AR 72701 Phone: 479-575-6479 Fax: 479-575-8793
Alfred Y Gordon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3340 N College Ave Ste 5, Fayetteville, AR 72703 Phone: 479-443-3536 Fax: 479-443-3933
Stanley Bradley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 E Longview Street, Fayetteville, AR 72703 Phone: 479-463-7385 Fax: 479-444-7120
Miss Marielie Heidi Agesilas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1125 N College Ave, Fayetteville, AR 72703 Phone: 479-521-8260

Dr Gloria Sam, MD - Medicare Family Practice in Fayetteville, AR