Samuel David Cross, MD is a medicare enrolled "Family Medicine" physician in Ethete, Wyoming. His current practice location is
707 Blue Sky Hwy, Ethete, Wyoming. You can reach out to his office (for appointments etc.) via phone at
(307) 856-9281.
Samuel David Cross is licensed to practice in Wyoming (license number 14953A) 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 1396305207.
Physician's Profile
Full Name | Samuel David Cross |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 707 Blue Sky Hwy, Ethete, Wyoming |
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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: 1396305207
- Provider Enumeration Date: 06/13/2019
- Last Update Date: 10/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 8921333857
- Enrollment ID: I20221004000756
Medical Identifiers
Medical identifiers for Samuel David Cross such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396305207 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 14953A (Wyoming) | 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. Samuel David Cross allows following entities to bill medicare on his behalf.
Entity Name | Wind River Family & Community Health Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285006379 PECOS PAC ID: 1850683780 Enrollment ID: O20160713000531 |
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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. Samuel David Cross 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 |
Samuel David Cross, MD 363 Sweetwater St Fl 2, Lander, WY 82520-3347 Ph: (480) 221-5408 | Samuel David Cross, MD 707 Blue Sky Hwy, Ethete, WY 82520 Ph: (307) 856-9281 |
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