Mrs Ellen Ann Sam, PA is a medicare enrolled "Physician Assistant" physician in Aventura, Florida. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Allergy And Asthma Associates Of South Florida Pa and her current practice location is
21150 Biscayne Blvd, Suite 408, Aventura, Florida. You can reach out to her office (for appointments etc.) via phone at
(305) 932-3252.
Mrs Ellen Ann Sam is licensed to practice in * (Not Available) (license number ) 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 1740379825.
Physician's Profile
| Full Name | Mrs Ellen Ann Sam |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 19 Years |
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| Location | 21150 Biscayne Blvd, Aventura, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Ellen Ann Sam graduated from medical school in 2005
NPI Data:
- NPI Number: 1740379825
- Provider Enumeration Date: 10/12/2006
- Last Update Date: 06/25/2019
Medicare PECOS Information:
- PECOS PAC ID: 2567540800
- Enrollment ID: I20080426000057
Medical Identifiers
Medical identifiers for Mrs Ellen Ann Sam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740379825 | NPI | - | NPPES |
| AL007Z | Other | FL | MEDICARE |
| AL007Y | Other | FL | MEDICARE |
| 292823000 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207K00000X | Allergy & Immunology | PA9103517 (Florida) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Allergy And Asthma Associates Of South Florida Pa | 2365340908 | 24 |
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. Mrs Ellen Ann Sam 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 |
|---|
Mrs Ellen Ann Sam, PA
11880 Sw 40th St, Suite 304,
Miami, FL 33175-3584
Ph: (305) 223-8808 | Mrs Ellen Ann Sam, PA
21150 Biscayne Blvd, Suite 408,
Aventura, FL 33180-1226
Ph: (305) 932-3252 |
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