Dr Samuel Joseph, PA-C, MD is a medicare enrolled "Physician Assistant" physician in Mount Dora, Florida. His current practice location is
4601 N Highway 19a, Mount Dora, Florida. You can reach out to his office (for appointments etc.) via phone at
(352) 602-7924.
Dr Samuel Joseph is licensed to practice in Arizona (license number 9733) 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 1588288203.
Physician's Profile
| Full Name | Dr Samuel Joseph |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 4601 N Highway 19a, Mount Dora, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1588288203
- Provider Enumeration Date: 05/29/2020
- Last Update Date: 07/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 9335525435
- Enrollment ID: I20220927001905
Medical Identifiers
Medical identifiers for Dr Samuel Joseph such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588288203 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | HSE32842 (Florida) | Secondary |
| 208600000X | Surgery | 238000625 (Illinois) | Secondary |
| 208D00000X | General Practice | TPPA373 (Puerto Rico) | Secondary |
| 363A00000X | Physician Assistant | TPPA373 (Florida) | Secondary |
| 363A00000X | Physician Assistant | 9733 (Arizona) | 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. Dr Samuel Joseph 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 |
|---|
Dr Samuel Joseph, PA-C, MD
22730 Sw 55th Ave,
Boca Raton, FL 33433-6258
Ph: (561) 573-8521 | Dr Samuel Joseph, PA-C, MD
4601 N Highway 19a,
Mount Dora, FL 32757-2039
Ph: (352) 602-7924 |
Reviews and Comments