Jibin Valiyaveettil Samuel, MBBS - Medicare Anesthesiology in St Petersburg, FL

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Jibin Valiyaveettil Samuel, MBBS is a medicare enrolled "Anesthesiology - Pediatric Anesthesiology" physician in St Petersburg, Florida. His current practice location is 501 6th Ave S, St Petersburg, Florida. You can reach out to his office (for appointments etc.) via phone at (727) 767-8480.

Jibin Valiyaveettil Samuel is licensed to practice in Florida (license number ME104317) 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 1841432291.

Contact Information

Jibin Valiyaveettil Samuel, MBBS
501 6th Ave S,
St Petersburg, FL 33701-4634
(727) 767-8480
(727) 767-8420

Map and Direction




Physician's Profile

Full NameJibin Valiyaveettil Samuel
GenderMale
SpecialityAnesthesiology - Pediatric Anesthesiology
Location501 6th Ave S, St Petersburg, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841432291
  • Provider Enumeration Date: 04/01/2009
  • Last Update Date: 01/18/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 4587789243
  • Enrollment ID: I20100917000775

Medical Identifiers

Medical identifiers for Jibin Valiyaveettil Samuel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841432291NPI-NPPES
002338900MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207LP3000XAnesthesiology - Pediatric Anesthesiology ME104317 (Florida)Primary
207LP2900XAnesthesiology - Pain Medicine ME104317 (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. Jibin Valiyaveettil Samuel allows following entities to bill medicare on his behalf.
Entity NamePediatric Physician Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770532798
PECOS PAC ID: 7113989849
Enrollment ID: O20041103001044

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. Jibin Valiyaveettil Samuel 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 AddressPractice Location Address
Jibin Valiyaveettil Samuel, MBBS
5002 W Homer Ave,
Tampa, FL 33629

Ph: (305) 979-5174		Jibin Valiyaveettil Samuel, MBBS
501 6th Ave S,
St Petersburg, FL 33701-4634

Ph: (727) 767-8480

Reviews and Comments


Anesthesiology Doctors in St Petersburg, FL

Geoffrey Boyajian, MD
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Phone: 727-823-2188    Fax: 727-828-0723
Dr. Todd Kenneth Letzring, D.O.
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Practice Location: 1200 7th Ave N, St Petersburg, FL 33705
Phone: 727-825-1053    
Jacqueline Biance, MD
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Practice Location: 701 6th St S, St Petersburg, FL 33701
Phone: 727-823-1234    
Thor William Van Diver, M.D.
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Practice Location: 701 6th St S, St Petersburg, FL 33701
Phone: 727-823-2188    Fax: 727-828-0723
Shivani M Patel, M.D.
Anesthesiology
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Practice Location: 501 6th St S, St Petersburg, FL 33701
Phone: 727-898-7451    
Joseph Martin Vulgamore, M.D.
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 1033 Dr Martin Luther King Jr St N, Suite 108, St Petersburg, FL 33701
Phone: 727-456-3288    Fax: 727-456-3289
Cindy K Hernandez, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 501 6th Ave S, St Petersburg, FL 33701
Phone: 727-767-3583    Fax: 727-767-8429

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.