Samuel J Daisley, DO - Family Medicine in Andover, OH

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Samuel J Daisley, DO is a Family Medicine physician based in Andover, Ohio. Samuel J Daisley is licensed to practice in Ohio (license number 34004448) and his current practice location is 149 E Main St, Box 1117, Andover, Ohio. He can be reached at his office (for appointments etc.) via phone at (440) 293-5555.

NPI number for Samuel J Daisley is 1669507505 and his current mailing address is 149 E Main St, Box 1117, Andover, Ohio. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1669507505.

Contact Information

Samuel J Daisley, DO
149 E Main St, Box 1117,
Andover, OH 44003-9479
(440) 293-5555
(440) 293-6643

Map and Direction




Physician's Profile

Full NameSamuel J Daisley
GenderMale
SpecialityFamily Medicine
Location149 E Main St, Andover, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1669507505
  • Provider Enumeration Date: 02/22/2007
  • Last Update Date: 12/09/2009

Medical Identifiers

Medical identifiers for Samuel J Daisley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669507505NPI-NPPES
092290OtherPAHIGHMARK BCBS- OH LOCATIO
0679930MedicaidOH
1760701OtherPAHIGHMARK BCBS- PA LOCATIO
000000137900OtherOHANTHEM BCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 34004448 (Ohio)Primary
207Q00000XFamily Medicine OS006385L (Pennsylvania)Secondary

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 J Daisley is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Samuel J Daisley, DO
149 E Main St, Box 1117,
Andover, OH 44003-9479

Ph: (440) 293-5555		Samuel J Daisley, DO
149 E Main St, Box 1117,
Andover, OH 44003-9479

Ph: (440) 293-5555

Reviews and Comments


Family Medicine Doctors in Andover, OH

Mark L Stabile Jr., D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 149 E Main St, Box 1117, Andover, OH 44003
Phone: 440-293-5555    Fax: 440-293-6643
Mrs. Mary Theresa James, CNP
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 149 E Main St, Andover, OH 44003
Phone: 440-293-5555    Fax: 440-293-6643

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.