Samuel Iran Vazquez, MD in Galesburg, IL

Samuel Iran Vazquez, MD is a medicare enrolled "Surgery" physician in Galesburg, Illinois. His current practice location is 1964 Patterson Dr, Galesburg, Illinois. You can reach out to his office (for appointments etc.) via phone at (508) 334-1000.

Samuel Iran Vazquez is licensed to practice in Illinois (license number 03666440) 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 1811422132.

Contact Information

	Samuel Iran Vazquez, MD
	1964 Patterson Dr, Galesburg, IL 61401-1434
	(508) 334-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Samuel Iran Vazquez
Gender	Male
Speciality	Surgery
Location	1964 Patterson Dr, Galesburg, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811422132
Provider Enumeration Date: 04/24/2017
Last Update Date: 10/03/2023

Medicare PECOS Information:

PECOS PAC ID: 5193082808
Enrollment ID: I20230829001037

Medical Identifiers

Medical identifiers for Samuel Iran Vazquez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811422132	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	03666440 (Illinois)	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 Iran Vazquez allows following entities to bill medicare on his behalf.

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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 Iran Vazquez 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 Iran Vazquez, MD 55 Lake Ave N, Worcester, MA 01655-0002 Ph: () -	Samuel Iran Vazquez, MD 1964 Patterson Dr, Galesburg, IL 61401-1434 Ph: (508) 334-1000

Reviews and Comments

Surgery Doctors in Galesburg, IL

Vijay K Arora, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3315 N Seminary St, Galesburg, IL 61401 Phone: 309-344-1000 Fax: 309-344-1054
Thomas J Whittle, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3315 N Seminary St, Galesburg, IL 61401 Phone: 309-344-1000 Fax: 309-344-1054
Mark Davis, M.D.,F.A.C.S. Surgery Medicare: Accepting Medicare Assignments Practice Location: 834 N Seminary St, Suite 503, Galesburg, IL 61401 Phone: 309-343-7773 Fax: 309-343-3839
Dr. Donald R Fisk, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 60 S Soangetaha Rd, Galesburg, IL 61401 Phone: 309-344-0858
Beverly L Orwig, RNFA Surgery Medicare: Not Enrolled in Medicare Practice Location: 3315 N Seminary St, Galesburg, IL 61401 Phone: 309-344-1000 Fax: 309-344-1054
Jerry E Mitchell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3315 N Seminary St, Galesburg, IL 61401 Phone: 309-344-1000 Fax: 309-344-1054

Samuel Iran Vazquez, MD - Medicare Surgery in Galesburg, IL