Lisa J Samson-fang, MD in Salt Lake City, UT - Medicare Pediatric Medicine

Lisa J Samson-fang, MD is a medicare enrolled "Pediatrics - Developmental - Behavioral Pediatrics" physician in Salt Lake City, Utah. She went to Johns Hopkins University School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice Intermountain Healthcare Services, Inc and her current practice location is 50 N Medical Dr, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 581-3501.

Lisa J Samson-fang is licensed to practice in Utah (license number 360059-1205) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821188442.

Contact Information

	Lisa J Samson-fang, MD
	50 N Medical Dr, Salt Lake City, UT 84132-0001
	(801) 581-3501
	Not Available

Map and Direction

Physician's Profile

Full Name	Lisa J Samson-fang
Gender	Female
Speciality	Pediatric Medicine
Experience	35 Years
Location	50 N Medical Dr, Salt Lake City, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lisa J Samson-fang attended and graduated from Johns Hopkins University School Of Medicine in 1989

NPI Data:

NPI Number: 1821188442
Provider Enumeration Date: 10/13/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2769434034
Enrollment ID: I20050215000403

Medical Identifiers

Medical identifiers for Lisa J Samson-fang such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821188442	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0006X	Pediatrics - Developmental - Behavioral Pediatrics	360059-1205 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Intermountain Healthcare Services, Inc	1850209420	3228

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. Lisa J Samson-fang allows following entities to bill medicare on her behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

Entity Name	Shriners Hospitals For Children
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396187282 PECOS PAC ID: 9133031933 Enrollment ID: O20140703000851

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. Lisa J Samson-fang 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
Lisa J Samson-fang, MD Po Box 581100, Salt Lake City, UT 84158-1100 Ph: (801) 213-3800	Lisa J Samson-fang, MD 50 N Medical Dr, Salt Lake City, UT 84132-0001 Ph: (801) 581-3501

Reviews and Comments

Pediatrics Doctors in Salt Lake City, UT

Kristina Mckinley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: University Of Utah Hospital, 30 North 1900 East, Rm 1c412, Salt Lake City, UT 84132 Phone: 801-581-2401
Dr. Zainab Kagen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 295 S Chipeta Way Ste 14, Salt Lake City, UT 84108 Phone: 801-585-6943
Kaitlin Carpenter, Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-1000
Dr. Thomas Patrick Curtin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 81 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-5700
Anastasiya Mankouski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107 Phone: 801-507-7000
Joslynn Marie Hoburg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 295 S Chipeta Way Rm 2s010, Salt Lake City, UT 84108 Phone: 801-581-2121
George W Delavan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 44 N Mario Capecchi Dr, Salt Lake City, UT 84132 Phone: 801-584-8239 Fax: 801-584-8588

Lisa J Samson-fang, MD - Medicare Pediatric Medicine in Salt Lake City, UT