Samuel Grady Putnam, MD in Southaven, MS

Samuel Grady Putnam, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Southaven, Mississippi. 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 Grady Putnam 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 Grady Putnam, MD
	55 Physicians Ln, Southaven, MS 38671-9569
	(662) 655-2136
	(662) 996-2214

Map and Direction

Physician's Profile

Full Name	Samuel Grady Putnam
Gender	Male
Speciality
Experience	Years
Location	55 Physicians Ln, Southaven, Mississippi
Accepts Medicare Assignments	Yes. 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 Grady Putnam attended and graduated from in

NPI Data:

NPI Number: 1023066404
Provider Enumeration Date: 05/05/2006
Last Update Date: 01/07/2025

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Samuel Grady Putnam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023066404	NPI	-	NPPES
300099781	Other	PA	RRM
8215722	Other	PA	CIGNA HMO/PPO
710371	Other	PA	HIGHMARK BLUE SHIELD
0546464000	Other	PA	AMERIHEALTH/INTERCOUNTY
0546464000	Other	PA	IBC - PC/KHPE
1172545	Other	PA	AETNA HMO
30026885	Other	PA	KEYSTONE MERCY
7929044	Other	PA	AETNA PPO
0012723560016	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	25MA09575600 (New Jersey)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	MD041221E (Pennsylvania)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	C1-0011573 (Delaware)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	MD041221E (Pennsylvania)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	C1-0011573 (Delaware)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	25MA09575600 (New Jersey)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	63241 (Tennessee)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	28916 (Mississippi)	Primary

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 Grady Putnam 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 Grady Putnam, MD 26500 Agoura Rd Ste 102-587, Calabasas, CA 91302-1952 Ph: (818) 880-8605	Samuel Grady Putnam, 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

Samuel Grady Putnam, MD - Medicare in Southaven, MS