Samuel G Putnam Iii, MD - Medicare Diagnostic Radiology in Southaven, MS

  1. Home
  2. Radiology
  3. MS
  4. Southaven
Samuel G Putnam Iii, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Southaven, Mississippi. He graduated from medical school in 1986 and has 39 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Advanced Urology Pllc and his current practice location is 55 Physicians Ln, Southaven, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 655-2136.

Samuel G Putnam Iii is licensed to practice in Mississippi (license number 28916) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023066404.

Contact Information

Samuel G Putnam Iii, MD
55 Physicians Ln,
Southaven, MS 38671-9569
(662) 655-2136
(662) 996-2214

Map and Direction




Physician's Profile

Full NameSamuel G Putnam Iii
GenderMale
SpecialityDiagnostic Radiology
Experience39 Years
Location55 Physicians Ln, Southaven, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samuel G Putnam Iii graduated from medical school in 1986
  NPI Data:
  • NPI Number: 1023066404
  • Provider Enumeration Date: 05/05/2006
  • Last Update Date: 10/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5991699522
  • Enrollment ID: I20231103001307

Medical Identifiers

Medical identifiers for Samuel G Putnam Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023066404NPI-NPPES
0546464000OtherPAAMERIHEALTH/INTERCOUNTY
30026885OtherPAKEYSTONE MERCY
300099781OtherPARRM
710371OtherPAHIGHMARK BLUE SHIELD
8215722OtherPACIGNA HMO/PPO
1172545OtherPAAETNA HMO
0546464000OtherPAIBC - PC/KHPE
7929044OtherPAAETNA PPO
0012723560016MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 25MA09575600 (New Jersey)Secondary
2085R0202XRadiology - Diagnostic Radiology MD041221E (Pennsylvania)Secondary
2085R0202XRadiology - Diagnostic Radiology C1-0011573 (Delaware)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology MD041221E (Pennsylvania)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology C1-0011573 (Delaware)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 25MA09575600 (New Jersey)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 63241 (Tennessee)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 28916 (Mississippi)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advanced Urology Pllc236534655844

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 G Putnam Iii allows following entities to bill medicare on his behalf.
Entity NameAdvanced Urology Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962501551
PECOS PAC ID: 2365346558
Enrollment ID: O20031120000238

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 G Putnam Iii 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
Samuel G Putnam Iii, MD
26500 Agoura Rd Ste 102-587,
Calabasas, CA 91302-1952

Ph: (818) 880-8605		Samuel G Putnam Iii, MD
55 Physicians Ln,
Southaven, MS 38671-9569

Ph: (662) 655-2136

Reviews and Comments


Radiology Doctors in Southaven, MS

Loi T Vu, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 7420 Guthrie Dr N Ste 105, Southaven, MS 38671
Phone: 662-349-4321    Fax: 662-349-3263
Shadell Cater, RDMS,RVT
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 7165 Swinnea Rd Bldg B2, Southaven, MS 38671
Phone: 662-612-4658    
Omar F Ghandour, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671
Phone: 662-772-2130    Fax: 662-772-2131

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.