Jose M Samson, MD is a medicare enrolled "Anesthesiology" physician in North Chittenden, Vermont. His current practice location is
60 Smith Farm Rd, North Chittenden, Vermont. You can reach out to his office (for appointments etc.) via phone at
(520) 780-8929.
Jose M Samson is licensed to practice in Arizona (license number 34725) 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 1154387090.
Physician's Profile
Full Name | Jose M Samson |
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Gender | Male |
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Speciality | Anesthesiology |
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Location | 60 Smith Farm Rd, North Chittenden, Vermont |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1154387090
- Provider Enumeration Date: 04/20/2006
- Last Update Date: 01/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 9032175278
- Enrollment ID: I20230203000040
Medical Identifiers
Medical identifiers for Jose M Samson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154387090 | NPI | - | NPPES |
006171 | Medicaid | AZ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 34725 (Arizona) | Primary |
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. Jose M Samson allows following entities to bill medicare on his behalf.
Entity Name | Amoskeag Anesthesia Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104883511 PECOS PAC ID: 1759375983 Enrollment ID: O20040513001385 |
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Entity Name | Dartmouth-hitchcock Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442 |
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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. Jose M Samson 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 |
Jose M Samson, MD 60 Smith Farm Rd, North Chittenden, VT 05763-9677 Ph: (520) 780-8929 | Jose M Samson, MD 60 Smith Farm Rd, North Chittenden, VT 05763-9677 Ph: (520) 780-8929 |
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