Dr Samuel Jay Peretsman, MD in Charlotte, NC

Dr Samuel Jay Peretsman, MD is a medicare enrolled "Urology" physician in Charlotte, North Carolina. He went to Boston University School Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Urology. He is a member of the group practice Prisma Health Medical Group-midlands and his current practice location is 201 Queens Rd, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 372-5180.

Dr Samuel Jay Peretsman is licensed to practice in North Carolina (license number 9500688) 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 1912946336.

Contact Information

	Dr Samuel Jay Peretsman, MD
	201 Queens Rd, Charlotte, NC 28204-3217
	(704) 372-5180
	(704) 376-6280

Map and Direction

Physician's Profile

Full Name	Dr Samuel Jay Peretsman
Gender	Male
Speciality	Urology
Experience	41 Years
Location	201 Queens Rd, Charlotte, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Samuel Jay Peretsman attended and graduated from Boston University School Of Medicine in 1983

NPI Data:

NPI Number: 1912946336
Provider Enumeration Date: 06/05/2006
Last Update Date: 05/30/2023

Medicare PECOS Information:

PECOS PAC ID: 5092749093
Enrollment ID: I20230616002754

Medical Identifiers

Medical identifiers for Dr Samuel Jay Peretsman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912946336	NPI	-	NPPES
10465	Other	NC	PARTNERS PROVIDER #
66833	Other	NC	BCBS INDI PROVIDER #
340016821	Other	NC	RAILROAD MEDICARE INDI #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	89031 (South Carolina)	Secondary
208800000X	Urology	9500688 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Prisma Health Baptist	Columbia, SC	Hospital
Prisma Health Richland Hospital	Columbia, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Prisma Health Medical Group-midlands	5991099707	881

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 Jay Peretsman allows following entities to bill medicare on his behalf.

Entity Name	Prisma Health Medical Group-midlands
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226

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 Jay Peretsman 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 Jay Peretsman, MD Po Box 36488, Charlotte, NC 28236-6488 Ph: (704) 248-3400	Dr Samuel Jay Peretsman, MD 201 Queens Rd, Charlotte, NC 28204-3217 Ph: (704) 372-5180

Reviews and Comments

Urology Doctors in Charlotte, NC

Mark J. Makhuli, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1225 Harding Pl, Ste 3100, Charlotte, NC 28204 Phone: 704-355-8686
Dr. George Albert Dasher, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 10512 Park Rd, Suite 113, Charlotte, NC 28210 Phone: 704-541-8207
Dr. Javier Piraino, D.O Urology Medicare: Medicare Enrolled Practice Location: 10650 Park Rd Ste 130, Charlotte, NC 28210 Phone: 704-752-3730 Fax: 704-752-9056
Dr. Craig H Robson, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 335 N Caswell Rd, Charlotte, NC 28204 Phone: 704-384-7980
Peter Earl Clark, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1021 Morehead Medical Dr, Ste 6100, Charlotte, NC 28204 Phone: 980-442-2000
E Matthew Dilizia, MD Urology Medicare: Medicare Enrolled Practice Location: 10660 Park Rd Ste 4100, Charlotte, NC 28210 Phone: 704-541-8207 Fax: 704-540-8288
Dr. Lawrence Andrew Eskew, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 335 N Caswell Rd, Charlotte, NC 28204 Phone: 704-384-7980 Fax: 704-384-7985

Dr Samuel Jay Peretsman, MD - Medicare Urology in Charlotte, NC