Dr Samuel B Picone Jr, MD is a
Surgery physician based in Summit Lake, Wisconsin. Dr Samuel B Picone Jr is licensed to practice in Wisconsin (license number 33904) and his current practice location is N9781 W Duck Lake Rd # Ktc130, Summit Lake, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 443-4329.
NPI number for Dr Samuel B Picone Jr is 1942233630 and his current mailing address is Po Box 130, Summit Lake, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942233630.
Physician's Profile
| Full Name | Dr Samuel B Picone Jr |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | N9781 W Duck Lake Rd # Ktc130, Summit Lake, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1942233630
- Provider Enumeration Date: 07/08/2006
- Last Update Date: 01/06/2014
Medical Identifiers
Medical identifiers for Dr Samuel B Picone Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942233630 | NPI | - | NPPES |
| 31885600 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 33904 (Wisconsin) | Primary |
| 208600000X | Surgery | G037968 (California) | Secondary |
| 208600000X | Surgery | MD072888L (Pennsylvania) | Secondary |
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 Samuel B Picone Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Samuel B Picone Jr, MD
Po Box 130,
Summit Lake, WI 54485-0130
Ph: (715) 443-4329 | Dr Samuel B Picone Jr, MD
N9781 W Duck Lake Rd # Ktc130,
Summit Lake, WI 54485-9629
Ph: (715) 443-4329 |
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