Dr Samuel Christopher Lubor, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Maywood, Illinois. His current practice location is
2160 S 1st Ave, Maywood, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 802-0904.
Dr Samuel Christopher Lubor is licensed to practice in * (Not Available) (license number ) 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 1295439602.
Physician's Profile
Full Name | Dr Samuel Christopher Lubor |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2160 S 1st Ave, Maywood, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1295439602
- Provider Enumeration Date: 03/29/2023
- Last Update Date: 05/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 3274994694
- Enrollment ID: I20230802000977
Medical Identifiers
Medical identifiers for Dr Samuel Christopher Lubor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295439602 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 125.081321 (Illinois) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Christopher Lubor 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 Address | Practice Location Address |
Dr Samuel Christopher Lubor, MD 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: () - | Dr Samuel Christopher Lubor, MD 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (847) 802-0904 |
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