Jerome M Sampson, MD in Fargo, ND - Medicare Diagnostic Radiology

Jerome M Sampson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Fargo, North Dakota. He went to Baylor College Of Medicine and graduated in 1978 and has 47 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Innovis Health Llc and his current practice location is 3000 32nd Ave S, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 364-8000.

Jerome M Sampson is licensed to practice in North Dakota (license number 4703) 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 1487681599.

Contact Information

	Jerome M Sampson, MD
	3000 32nd Ave S, Fargo, ND 58103-6132
	(701) 364-8000
	(701) 364-8078

Map and Direction

Physician's Profile

Full Name	Jerome M Sampson
Gender	Male
Speciality	Diagnostic Radiology
Experience	47 Years
Location	3000 32nd Ave S, Fargo, North Dakota
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:

Jerome M Sampson attended and graduated from Baylor College Of Medicine in 1978

NPI Data:

NPI Number: 1487681599
Provider Enumeration Date: 06/26/2006
Last Update Date: 07/18/2012

Medicare PECOS Information:

PECOS PAC ID: 5294824900
Enrollment ID: I20071204000140

Medical Identifiers

Medical identifiers for Jerome M Sampson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487681599	NPI	-	NPPES
1600852	Other	ND	MEDICA FGO #
14146	Medicaid	ND
9258	Other	ND	SIOUX VALLEY PROV #
DA9011015581	Other	ND	PREF 1 #
HP25764	Other	ND	HEALTHPARTNERS #
634208600	Medicaid	ND
676650	Other	ND	ARAZ #
974	Other	ND	NDBS #
1600853	Other	ND	MEDICA INN #
91427SA	Other	ND	MNBS #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085N0700X	Radiology - Neuroradiology	4703 (North Dakota)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	4703 (North Dakota)	Primary
2085R0204X	Radiology - Vascular & Interventional Radiology	4703 (North Dakota)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Essentia Health	Fargo, ND	Hospital
Essentia Health Fosston	Fosston, MN	Hospital
Essentia Health Ada	Ada, MN	Hospital
Holy Trinity Hospital & Grace Home	Graceville, MN	Hospital
Essentia Health St Marys - Detroit Lakes	Detroit lakes, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Innovis Health Llc	9931298155	478

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. Jerome M Sampson allows following entities to bill medicare on his behalf.

Entity Name	Innovis Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215125463 PECOS PAC ID: 9931298155 Enrollment ID: O20071211000158

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. Jerome M Sampson 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
Jerome M Sampson, MD Po Box 6001, Fargo, ND 58108-6001 Ph: (701) 364-3300	Jerome M Sampson, MD 3000 32nd Ave S, Fargo, ND 58103-6132 Ph: (701) 364-8000

Reviews and Comments

Radiology Doctors in Fargo, ND

Dr. Adam John Defoe, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000
Stephen P Garrity, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000 Fax: 701-234-7481
Corey L Teigen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-6236 Fax: 701-234-7332
James Woods, Radiology Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 701-239-3700
Dale R Shook, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2301 25th St S, Fargo, ND 58103 Phone: 701-271-1423
Dr. John Christopher Asleson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-5015
Dennis E Bier, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 820 4th St N, Fargo, ND 58122 Phone: 701-234-6161 Fax: 701-234-5718

Jerome M Sampson, MD - Medicare Diagnostic Radiology in Fargo, ND