Samuel Longfellow, DO in Pueblo, CO - Medicare Family Practice

Samuel Longfellow, DO is a medicare enrolled "Family Medicine" physician in Pueblo, Colorado. He went to Rocky Vista University College Of Osteopathic Med and graduated in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Catholic Health Initiatives Colorado and his current practice location is 902 Lakeview Ave, Pueblo, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 557-5872.

Samuel Longfellow is licensed to practice in Colorado (license number DR.0057381) 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 1851771943.

Contact Information

	Samuel Longfellow, DO
	902 Lakeview Ave, Pueblo, CO 81004-3597
	(719) 557-5872
	Not Available

Map and Direction

Physician's Profile

Full Name	Samuel Longfellow
Gender	Male
Speciality	Family Practice
Experience	9 Years
Location	902 Lakeview Ave, Pueblo, Colorado
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 Longfellow attended and graduated from Rocky Vista University College Of Osteopathic Med in 2015

NPI Data:

NPI Number: 1851771943
Provider Enumeration Date: 06/03/2015
Last Update Date: 01/25/2023

Medicare PECOS Information:

PECOS PAC ID: 9830445196
Enrollment ID: I20180629000647

Medical Identifiers

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

Identifier	Type	State	Issuer
1851771943	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	DR.0057381 (Colorado)	Primary
208M00000X	Hospitalist	DR.0057381 (Colorado)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Mary Corwin Med Ctr, Centura Health	Pueblo, CO	Hospital
Parkview Medical Center, Inc	Pueblo, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Catholic Health Initiatives Colorado	8022927342	972

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 Longfellow allows following entities to bill medicare on his behalf.

Entity Name	Pueblo Community Health Center Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770529950 PECOS PAC ID: 4284543802 Enrollment ID: O20031104000171

Entity Name	Catholic Health Initiatives Colorado
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462

Entity Name	Portercare Adventist Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760761928 PECOS PAC ID: 0941110886 Enrollment ID: O20090115000327

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 Longfellow 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 Longfellow, DO 902 Lakeview Ave, Pueblo, CO 81004-3597 Ph: (719) 557-5872	Samuel Longfellow, DO 902 Lakeview Ave, Pueblo, CO 81004-3597 Ph: (719) 557-5872

Reviews and Comments

Family Medicine Doctors in Pueblo, CO

Dr. Camila Teresa Robles, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 902 Lakeview Ave, Pueblo, CO 81004 Phone: 719-557-5872
Dr. Queenter Kisang, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3676 Parker Blvd, Pueblo, CO 81008 Phone: 719-553-1804 Fax: 833-916-2047
Steven Nafziger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1619 N Greenwood St, Suite 204, Pueblo, CO 81003 Phone: 719-544-1551 Fax: 719-544-1493
Dr. Dana G Riley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Colorado Ave, Pueblo, CO 81004 Phone: 719-543-8711 Fax: 719-543-5340
Dr. Terry Liefde, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 902 Lakeview Ave, Pueblo, CO 81004 Phone: 719-557-5855 Fax: 719-557-5097
Spencer Bruce Hegerhorst, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 902 Lakeview Ave, Pueblo, CO 81004 Phone: 719-557-5872 Fax: 719-557-4780
Dr. Scott Alan Deruiter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 109 S Burlington Dr, Pueblo, CO 81007 Phone: 719-553-2205 Fax: 833-314-0183

Samuel Longfellow, DO - Medicare Family Practice in Pueblo, CO