Dr Samuel Balana Luague, MD is a
Ophthalmology physician based in Galax, Virginia. Dr Samuel Balana Luague is licensed to practice in Virginia (license number 25878) and his current practice location is 401 N Jefferson St, Galax, Virginia. He can be reached at his office (for appointments etc.) via phone at
(276) 236-7166.
NPI number for Dr Samuel Balana Luague is 1760488233 and his current mailing address is Po Box 855, Galax, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760488233.
Physician's Profile
| Full Name | Dr Samuel Balana Luague |
|---|
| Gender | Male |
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| Speciality | Ophthalmology |
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| Location | 401 N Jefferson St, Galax, Virginia |
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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: 1760488233
- Provider Enumeration Date: 06/21/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Samuel Balana Luague such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760488233 | NPI | - | NPPES |
| 690612W | Other | NC | MEDICAID |
| 6399941 | Medicaid | VA | |
| 061584 | Other | VA | ANTHEM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | 25878 (Virginia) | Primary |
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 Balana Luague 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 Balana Luague, MD
Po Box 855,
Galax, VA 24333-0855
Ph: (276) 236-7166 | Dr Samuel Balana Luague, MD
401 N Jefferson St,
Galax, VA 24333-2858
Ph: (276) 236-7166 |
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