Dr Sam J Biafora, MD - Medicare Orthopedic Surgery in Crystal Lake, IL

Dr Sam J Biafora, MD is a medicare enrolled "Orthopaedic Surgery - Hand Surgery" physician in Crystal Lake, Illinois. He went to Chicago College Of Medicine And Surgery and graduated in 2002 and has 22 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Hand Surgery Associates Sc and his current practice location is 420 N Il Route 31, Crystal Lake, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 356-5200.

Dr Sam J Biafora is licensed to practice in Illinois (license number 036-115378) 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 1205037991.

Contact Information

Dr Sam J Biafora, MD
420 N Il Route 31,
Crystal Lake, IL 60012-3711
(815) 356-5200
(815) 356-5262

Map and Direction




Physician's Profile

Full NameDr Sam J Biafora
GenderMale
SpecialityOrthopedic Surgery
Experience22 Years
Location420 N Il Route 31, Crystal Lake, Illinois
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 J Biafora attended and graduated from Chicago College Of Medicine And Surgery in 2002
  NPI Data:
  • NPI Number: 1205037991
  • Provider Enumeration Date: 05/30/2007
  • Last Update Date: 08/18/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 2264506203
  • Enrollment ID: I20080808000355

Medical Identifiers

Medical identifiers for Dr Sam J Biafora such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205037991NPI-NPPES
036115378MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XS0106XOrthopaedic Surgery - Hand Surgery 036-115378 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northwest Community Hospital 1Arlington heights, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hand Surgery Associates Sc06481652336

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 J Biafora allows following entities to bill medicare on his behalf.
Entity NameHand Surgery Associates Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568508083
PECOS PAC ID: 0648165233
Enrollment ID: O20040223000043

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 J Biafora 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 J Biafora, MD
420 N Il Route 31,
Crystal Lake, IL 60012-3711

Ph: (815) 356-5200
Dr Sam J Biafora, MD
420 N Il Route 31,
Crystal Lake, IL 60012-3711

Ph: (815) 356-5200

Reviews and Comments


Orthopaedic Surgery Doctors in Crystal Lake, IL

Dr. Savan Dixit Patel, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 420 N Il Route 31, Crystal Lake, IL 60012
Phone: 815-356-5200    Fax: 815-356-5262
Dr. Timothy G Havenhill, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 420 N Il Route 31, Crystal Lake, IL 60012
Phone: 815-356-5200    Fax: 815-356-5262
Dr. Warren S Jablonsky, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 420 N Il Route 31, Crystal Lake, IL 60012
Phone: 815-356-5200    Fax: 815-356-5262
Brian Patrick Flanagan, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 420 N Il Route 31, Crystal Lake, IL 60012
Phone: 815-356-5200    Fax: 815-356-5262
Dr. William D. Cox Jr., M.D.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 420 N Il Route 31, Crystal Lake, IL 60012
Phone: 815-356-5200    Fax: 815-356-5262
Dr. Matthew I Samuelson, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 420 N Il Route 31, Crystal Lake, IL 60012
Phone: 815-356-5200    Fax: 815-356-5262

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).

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