Dr Samuel J Laurencin, MD, PHD is a medicare enrolled "General Practice" physician in Waterbury, Connecticut. He went to Drexel University College Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Neurosurgery Orthopaedics And Spine Specialists Pc and his current practice location is
500 Chase Pkwy, Waterbury, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 755-6677.
Dr Samuel J Laurencin is licensed to practice in Connecticut (license number 69456) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1508253998.
Physician's Profile
| Full Name | Dr Samuel J Laurencin |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 9 Years |
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| Location | 500 Chase Pkwy, Waterbury, Connecticut |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Samuel J Laurencin attended and graduated from Drexel University College Of Medicine in 2015
NPI Data:
- NPI Number: 1508253998
- Provider Enumeration Date: 04/23/2015
- Last Update Date: 02/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 4587976188
- Enrollment ID: I20211111002709
Medical Identifiers
Medical identifiers for Dr Samuel J Laurencin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508253998 | NPI | - | NPPES |
| 110162087A | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | 282565 (Massachusetts) | Secondary |
| 207X00000X | Orthopaedic Surgery | 69456 (Connecticut) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | 69456 (Connecticut) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Neurosurgery Orthopaedics And Spine Specialists Pc | 8820087463 | 14 |
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 J Laurencin allows following entities to bill medicare on his behalf.
| Entity Name | Neurosurgery Orthopaedics & Spine Specialists Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831359215
PECOS PAC ID: 8820087463
Enrollment ID: O20040510000696 |
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| Entity Name | Day Kimball Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376813972
PECOS PAC ID: 1557514411
Enrollment ID: O20130102000091 |
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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 J Laurencin 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 J Laurencin, MD, PHD
500 Chase Pkwy,
Waterbury, CT 06708-3346
Ph: (203) 755-6677 | Dr Samuel J Laurencin, MD, PHD
500 Chase Pkwy,
Waterbury, CT 06708-3346
Ph: (203) 755-6677 |
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