Dr Samuel Edwin Schrack, DO is a medicare enrolled "Family Medicine" physician in Laporte, Pennsylvania. His current practice location is
217 King Street, Laporte, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 946-5101.
Dr Samuel Edwin Schrack is licensed to practice in Pennsylvania (license number OS007012E) 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 1114926920.
Physician's Profile
Full Name | Dr Samuel Edwin Schrack |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 217 King Street, Laporte, Pennsylvania |
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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: 1114926920
- Provider Enumeration Date: 07/14/2005
- Last Update Date: 04/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 8426075995
- Enrollment ID: I20051025000386
Medical Identifiers
Medical identifiers for Dr Samuel Edwin Schrack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114926920 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | OS007012E (Pennsylvania) | Primary |
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 Samuel Edwin Schrack allows following entities to bill medicare on his behalf.
Entity Name | Rural Health Corporation Of Northeastern Pennsylvania |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1265801112 PECOS PAC ID: 1052362662 Enrollment ID: O20050201000488 |
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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 Edwin Schrack 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 Edwin Schrack, DO 412 Allen St, Montoursville, PA 17754-1510 Ph: (570) 519-1322 | Dr Samuel Edwin Schrack, DO 217 King Street, Laporte, PA 18626-0095 Ph: (570) 946-5101 |
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