Dr Imeh Sampson Jr, DO - Medicare Family Practice in Rochester, NY

Dr Imeh Sampson Jr, DO is a medicare enrolled "Hospitalist" physician in Rochester, New York. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Banner Hospital Based Physicians Arizona Llc and his current practice location is 1425 Portland Ave, Rochester, New York. You can reach out to his office (for appointments etc.) via phone at (585) 922-5067.

Dr Imeh Sampson Jr is licensed to practice in New York (license number 283895) 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 1699115402.

Contact Information

Dr Imeh Sampson Jr, DO
1425 Portland Ave,
Rochester, NY 14621-3001
(585) 922-5067
Not Available

Map and Direction




Physician's Profile

Full NameDr Imeh Sampson Jr
GenderMale
SpecialityFamily Practice
Experience12 Years
Location1425 Portland Ave, Rochester, New York
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:
  • Dr Imeh Sampson Jr graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1699115402
  • Provider Enumeration Date: 06/26/2013
  • Last Update Date: 04/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1850688961
  • Enrollment ID: I20190212002528

Medical Identifiers

Medical identifiers for Dr Imeh Sampson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699115402NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 283895 (Arizona)Secondary
208M00000XHospitalist 283895 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Banner Boswell Medical CenterSun city, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Banner Hospital Based Physicians Arizona Llc3274782487405

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 Imeh Sampson Jr allows following entities to bill medicare on his behalf.
Entity NameBanner Hospital Based Physicians Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275889891
PECOS PAC ID: 3274782487
Enrollment ID: O20121003000752

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 Imeh Sampson 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 AddressPractice Location Address
Dr Imeh Sampson Jr, DO
10401 W Thunderbird Blvd,
Sun City, AZ 85351-3004

Ph: (623) 832-4728
Dr Imeh Sampson Jr, DO
1425 Portland Ave,
Rochester, NY 14621-3001

Ph: (585) 922-5067

Reviews and Comments


Hospitalist Doctors in Rochester, NY

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Stephen M Silver, M.D.
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Dr. Justin F Lynn, MD
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Jesse Rizkalla, M.D.
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Nayan Patel, MD
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Phone: 585-275-2874    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.