John Randall Samples, in Olympia, WA - Medicare Ophthalmology

John Randall Samples, is a medicare enrolled "Ophthalmology" physician in Olympia, Washington. He went to University Of California, San Diego School Of Medicine and graduated in 1977 and has 47 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice The Eye Clinic Pc and his current practice location is 215 Lilly Rd Ne, Olympia, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 456-4800.

John Randall Samples is licensed to practice in Washington (license number MD00030114) 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 1598717860.

Contact Information

	John Randall Samples,
	215 Lilly Rd Ne, Olympia, WA 98506-5030
	(360) 456-4800
	(360) 456-4800

Map and Direction

Physician's Profile

Full Name	John Randall Samples
Gender	Male
Speciality	Ophthalmology
Experience	47 Years
Location	215 Lilly Rd Ne, Olympia, Washington
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:

John Randall Samples attended and graduated from University Of California, San Diego School Of Medicine in 1977

NPI Data:

NPI Number: 1598717860
Provider Enumeration Date: 05/16/2006
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 2365405057
Enrollment ID: I20041104000181

Medical Identifiers

Medical identifiers for John Randall Samples such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598717860	NPI	-	NPPES
289959	Medicaid	OR
360398	Other	WA	L&I
2044175	Medicaid	WA
180040576	Other		RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	MD 13791 (Oregon)	Secondary
207W00000X	Ophthalmology	MD00030114 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence St Vincent Medical Center	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Eye Clinic Pc	7719972736	3

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. John Randall Samples allows following entities to bill medicare on his behalf.

Entity Name	The Eye Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639247885 PECOS PAC ID: 7719972736 Enrollment ID: O20040419001142

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. John Randall Samples 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
John Randall Samples, 215 Lilly Rd Ne, Olympia, WA 98506-5030 Ph: (360) 456-4800	John Randall Samples, 215 Lilly Rd Ne, Olympia, WA 98506-5030 Ph: (360) 456-4800

Reviews and Comments

Ophthalmology Doctors in Olympia, WA

Rodger Dante Bodoia, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 215 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-456-4800 Fax: 360-456-4812
Dr. Victor M Chin, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 Fax: 360-923-7089
Noel M Castillo, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 215 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-456-4800 Fax: 360-413-9476
Deana Lynn Choi, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2212 Lakewood Dr Se, Olympia, WA 98501 Phone: 215-609-0312
Leonard Stewart Seifter, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 300 Lilly Rd Ne, Suite C, Olympia, WA 98506 Phone: 360-438-2207 Fax: 360-438-2231
Dr. Patrick S Kelley, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 215 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-972-3533
Dr. Preston Mackenzie Luong, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 Fax: 360-923-7089

John Randall Samples, - Medicare Ophthalmology in Olympia, WA