Dr Samuel T Baz, MD is a
Surgery physician based in Wenona, Illinois. Dr Samuel T Baz is licensed to practice in Illinois (license number ) and his current practice location is 516 S Chestnut St, Wenona, Illinois. He can be reached at his office (for appointments etc.) via phone at
(815) 853-4402.
NPI number for Dr Samuel T Baz is 1689624470 and his current mailing address is 516 S Chestnut St, Po Box 250, Wenona, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689624470.
Physician's Profile
| Full Name | Dr Samuel T Baz |
|---|
| Gender | Male |
|---|
| Speciality | Surgery |
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| Location | 516 S Chestnut St, Wenona, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1689624470
- Provider Enumeration Date: 05/11/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Samuel T Baz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689624470 | NPI | - | NPPES |
| 0006200024 | Other | IL | BLUE CROSS/BLUE SHIELD |
| 017560 | Other | IL | HEALTH ALLIANCE |
| 4581199 | Other | IL | AETNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
| 208600000X | Surgery | (Illinois) | 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 T Baz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Samuel T Baz, MD
516 S Chestnut St, Po Box 250,
Wenona, IL 61377-0250
Ph: (815) 853-4402 | Dr Samuel T Baz, MD
516 S Chestnut St,
Wenona, IL 61377-0250
Ph: (815) 853-4402 |
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