Dr Sam Abdul, MD - Medicare Internal Medicine in Charleston, WV

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Dr Sam Abdul, MD is a medicare enrolled "Emergency Medicine" physician in Charleston, West Virginia. He graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Cep America Llc and his current practice location is 3200 Maccorkle Ave Se, Charleston, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 388-4170.

Dr Sam Abdul is licensed to practice in Michigan (license number 4301088857) 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 1932187713.

Contact Information

Dr Sam Abdul, MD
3200 Maccorkle Ave Se,
Charleston, WV 25304-1227
(304) 388-4170
Not Available

Map and Direction




Physician's Profile

Full NameDr Sam Abdul
GenderMale
SpecialityInternal Medicine
Experience33 Years
Location3200 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:
  • Dr Sam Abdul graduated from medical school in 1991
  NPI Data:
  • NPI Number: 1932187713
  • Provider Enumeration Date: 01/03/2006
  • Last Update Date: 08/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6305853722
  • Enrollment ID: I20070419000563

Medical Identifiers

Medical identifiers for Dr Sam Abdul such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932187713NPI-NPPES
2000361000MedicaidWV
001723882OtherWVWV BCBS
20404OtherWVLICENSE
2803069MedicaidOH
P00456101OtherOHMEDICARE RAIL ROAD
000000538615OtherOHANTHEM
1056712OtherWVWV DWC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 20404 (West Virginia)Secondary
207P00000XEmergency Medicine 4301088857 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Mary's Standish Community HospitalStandish, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cep America Llc6608056171569

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 Sam Abdul allows following entities to bill medicare on his behalf.
Entity NameHarbor Beach Community Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619059458
PECOS PAC ID: 7214903483
Enrollment ID: O20040908001458
Entity NameDegara App Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265976971
PECOS PAC ID: 7618251398
Enrollment ID: O20170223001941
Entity NameEpmg Southern Michigan Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336607126
PECOS PAC ID: 0941536114
Enrollment ID: O20190725001424
Entity NameCep America Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912687328
PECOS PAC ID: 6608056171
Enrollment ID: O20230815000906

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 Sam Abdul 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 Sam Abdul, MD
4750 Hempstead Station Dr,
Kettering, OH 45429-5164

Ph: (800) 875-0136		Dr Sam Abdul, MD
3200 Maccorkle Ave Se,
Charleston, WV 25304-1227

Ph: (304) 388-4170

Reviews and Comments


Emergency Medicine Doctors in Charleston, WV

Barry Michael Mitchell, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 419 Brooks St, Charleston, WV 25301
Phone: 304-395-0401    
Adam Thomas Crawford, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3110 Maccorkle Ave Se, Charleston, WV 25304
Phone: 304-388-7170    Fax: 304-388-4621
Dr. Hunter Nielsen, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 501 Morris St, Charleston, WV 25301
Phone: 304-388-5432    Fax: 304-388-3360
Bradley Nine, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304
Phone: 304-388-5432    
Calvin Huan Yang, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304
Phone: 304-388-4172    Fax: 304-388-4155
Roger Taylor, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 501 Morris St, Charleston, WV 25301
Phone: 304-647-6006    
Dr. Robert Myles Austin, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3110 Maccorkle Ave Se, Charleston, WV 25304
Phone: 304-388-7170    Fax: 304-388-1858

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.