Richard Leslie Sample, MD - Medicare Family Medicine in Montgomery, AL

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Richard Leslie Sample, MD is a medicare enrolled "Family Medicine" physician in Montgomery, Alabama. His current practice location is 4371 Narrow Lane Rd, Montgomery, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 613-3680.

Richard Leslie Sample is licensed to practice in Alabama (license number DO898) 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 1497713200.

Contact Information

Richard Leslie Sample, MD
4371 Narrow Lane Rd,
Montgomery, AL 36116-2971
(334) 613-3680
(334) 613-3685

Map and Direction




Physician's Profile

Full NameRichard Leslie Sample
GenderMale
SpecialityFamily Medicine
Location4371 Narrow Lane Rd, Montgomery, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497713200
  • Provider Enumeration Date: 05/02/2006
  • Last Update Date: 03/27/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 5193754943
  • Enrollment ID: I20050811000585

Medical Identifiers

Medical identifiers for Richard Leslie Sample such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497713200NPI-NPPES
009937494MedicaidAL
0403254OtherALUNITED HEALTHCARE
630813275OtherALCOMMERCIAL
051557580OtherALMEDICARE PROVIDER #
051542076OtherALBCBS PROVIDER #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine DO898 (Alabama)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. Richard Leslie Sample allows following entities to bill medicare on his behalf.
Entity NameJackson Hospital And Clinic, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073264107
PECOS PAC ID: 0547254153
Enrollment ID: O20040414000971
Entity NameJackson Montgomery Emergency Physcians, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952358590
PECOS PAC ID: 5597785634
Enrollment ID: O20051202000795
Entity NameNes Tennessee, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437606605
PECOS PAC ID: 3678472040
Enrollment ID: O20161031002328
Entity NameIntegrated Care-alabama Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215572888
PECOS PAC ID: 8224462833
Enrollment ID: O20200107000485

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. Richard Leslie Sample 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
Richard Leslie Sample, MD
4371 Narrow Lane Rd,
Montgomery, AL 36116-2975

Ph: (334) 613-3680		Richard Leslie Sample, MD
4371 Narrow Lane Rd,
Montgomery, AL 36116-2971

Ph: (334) 613-3680

Reviews and Comments


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Nandini Yashwanti Ramroop, M.D.
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Trupti Nadkar, M.D.
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Practice Location: 4371 Narrow Lane Rd Ste 100, Montgomery, AL 36116
Phone: 334-747-3680    Fax: 334-747-7880

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.