Dr Samuel Fitzroy Cort Jr, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Mcdonough, Georgia. His current practice location is
289 Jonesboro Rd Ste 339, Mcdonough, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 656-6639.
Dr Samuel Fitzroy Cort Jr is licensed to practice in Georgia (license number 054262) 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 1275507113.
Physician's Profile
| Full Name | Dr Samuel Fitzroy Cort Jr |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 289 Jonesboro Rd Ste 339, Mcdonough, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1275507113
- Provider Enumeration Date: 02/15/2006
- Last Update Date: 06/02/2015
Medicare PECOS Information:
- PECOS PAC ID: 8224005343
- Enrollment ID: I20040916000628
Medical Identifiers
Medical identifiers for Dr Samuel Fitzroy Cort Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275507113 | NPI | - | NPPES |
| 348649033D | Medicaid | GA | |
| 262466400 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | ME82592 (Florida) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 35.076831 (Ohio) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 26608 (South Carolina) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 054262 (Georgia) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 4301083098 (Michigan) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 120443 (North Carolina) | Secondary |
| 2085N0904X | Radiology - Nuclear Radiology | ME82592 (Florida) | Secondary |
| 2085N0700X | Radiology - Neuroradiology | ME82592 (Florida) | Secondary |
| 2085P0229X | Radiology - Pediatric Radiology | ME82592 (Florida) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | ME82592 (Florida) | Secondary |
| 2085U0001X | Radiology - Diagnostic Ultrasound | ME82592 (Florida) | Secondary |
| 2085B0100X | Radiology - Body Imaging | ME82592 (Florida) | Secondary |
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 Fitzroy Cort Jr allows following entities to bill medicare on his behalf.
| Entity Name | Northside Radiology Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013960657
PECOS PAC ID: 4486555398
Enrollment ID: O20040115000095 |
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| Entity Name | Georgia Imaging Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912026527
PECOS PAC ID: 3577661388
Enrollment ID: O20070601000294 |
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| Entity Name | Riverside Radiology And Interventional Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093718496
PECOS PAC ID: 8729976964
Enrollment ID: O20211105001737 |
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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 Fitzroy Cort Jr 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 |
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Dr Samuel Fitzroy Cort Jr, MD
289 Jonesboro Rd Ste 339,
Mcdonough, GA 30253-3725
Ph: (770) 656-6639 | Dr Samuel Fitzroy Cort Jr, MD
289 Jonesboro Rd Ste 339,
Mcdonough, GA 30253-3725
Ph: (770) 656-6639 |
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