Dr Samuel B Zoucha, MD - Medicare Pediatrics in Salt Lake City, UT

Dr Samuel B Zoucha, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Salt Lake City, Utah. His current practice location is 295 S Chipeta Way, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 581-7052.

Dr Samuel B Zoucha is licensed to practice in Utah (license number 11734162-1205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1588184105.

Contact Information

Dr Samuel B Zoucha, MD
295 S Chipeta Way,
Salt Lake City, UT 84132-1287
(801) 581-7052
Not Available

Map and Direction




Physician's Profile

Full NameDr Samuel B Zoucha
GenderMale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location295 S Chipeta Way, Salt Lake City, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588184105
  • Provider Enumeration Date: 06/24/2017
  • Last Update Date: 06/03/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5092139683
  • Enrollment ID: I20200715002101

Medical Identifiers

Medical identifiers for Dr Samuel B Zoucha such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588184105NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 125-071276 (Illinois)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine 11734162-1205 (Utah)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 B Zoucha 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 Samuel B Zoucha, MD
295 S Chipeta Way,
Salt Lake City, UT 84132-1287

Ph: (801) 581-7052
Dr Samuel B Zoucha, MD
295 S Chipeta Way,
Salt Lake City, UT 84132-1287

Ph: (801) 581-7052

Reviews and Comments


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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.

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