Samuel James Sampson, MD - Medicare Radiology in La Crosse, WI

  1. Home
  2. Radiology
  3. WI
  4. La Crosse
Samuel James Sampson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in La Crosse, Wisconsin. His current practice location is 700 West Avenue S, La Crosse, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 785-0940.

Samuel James Sampson is licensed to practice in Wisconsin (license number 82801) 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 1417450297.

Contact Information

Samuel James Sampson, MD
700 West Avenue S,
La Crosse, WI 54601-8806
(608) 785-0940
Not Available

Map and Direction




Physician's Profile

Full NameSamuel James Sampson
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location700 West Avenue S, La Crosse, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417450297
  • Provider Enumeration Date: 03/17/2018
  • Last Update Date: 08/28/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5395175228
  • Enrollment ID: I20240911002434

Medical Identifiers

Medical identifiers for Samuel James Sampson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417450297NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 82801 (Wisconsin)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 James Sampson allows following entities to bill medicare on his behalf.
Entity NameMayo Clinic Health System-southwest Wisconsin Region Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629056049
PECOS PAC ID: 0345152443
Enrollment ID: O20031110000684
Entity NameMayo Clinic Health System-lake City
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164463659
PECOS PAC ID: 1951213487
Enrollment ID: O20060705000003
Entity NameMayo Clinic Health System-southwest Wisconsin Region Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1841278637
PECOS PAC ID: 0345152443
Enrollment ID: O20100506000523
Entity NameMayo Clinic Health System-northwest Wisconsin Region Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235588831
PECOS PAC ID: 4385553627
Enrollment ID: O20161109002075
Entity NameMayo Clinic Health System-northwest Wisconsin Region Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1154372944
PECOS PAC ID: 4385553627
Enrollment ID: O20171012000001
Entity NameMayo Clinic Health System-northwest Wisconsin Region Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1740239557
PECOS PAC ID: 4385553627
Enrollment ID: O20171012000112
Entity NameMayo Clinic Health System-northwest Wisconsin Region Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1912958026
PECOS PAC ID: 4385553627
Enrollment ID: O20171012000215
Entity NameMayo Clinic Health System-northwest Wisconsin Region Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1700837812
PECOS PAC ID: 4385553627
Enrollment ID: O20171012001230
Entity NameMayo Clinic Health System-southeast Minnesota Region
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114453883
PECOS PAC ID: 4385556703
Enrollment ID: O20171120000204
Entity NameMayo Clinic Health System-southwest Minnesota Region
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578545422
PECOS PAC ID: 4688585771
Enrollment ID: O20171130002270
Entity NameMayo Clinic Health System-st James
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023177730
PECOS PAC ID: 9537170352
Enrollment ID: O20171222000157
Entity NameMayo Clinic Health System-fairmont
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366410862
PECOS PAC ID: 4981694981
Enrollment ID: O20180104001216

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 James Sampson 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 James Sampson, MD
200 1st St Sw,
Rochester, MN 55905-0001

Ph: (507) 284-2511		Samuel James Sampson, MD
700 West Avenue S,
La Crosse, WI 54601-8806

Ph: (608) 785-0940

Reviews and Comments


Radiology Doctors in La Crosse, WI

Cameron F Roberts, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
Brian R Manske, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
Dr. Heather Jo Wichman, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1900 South Ave, La Crosse, WI 54601
Phone: 608-775-6569    
Robert E Wax, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
Douglas G Gold, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
Mark C Wickre, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    
Dr. Ezana M Azene, MD, PHD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1836 South Ave, La Crosse, WI 54601
Phone: 608-782-7300    

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.