Samuel R Borsellino, MD is a medicare enrolled "Neurological Surgery" physician in Lorain, Ohio. He went to Ohio State University College Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Neurosurgery. He is a member of the group practice Mercy Health Physicians Lorain Specialty Care Llc and his current practice location is
3600 Kolbe Rd Ste 100, Lorain, Ohio. You can reach out to his office (for appointments etc.) via phone at
(440) 930-6015.
Samuel R Borsellino is licensed to practice in North Carolina (license number 2016-02431) 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 1174540173.
Physician's Profile
| Full Name | Samuel R Borsellino |
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| Gender | Male |
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| Speciality | Neurosurgery |
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| Experience | 25 Years |
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| Location | 3600 Kolbe Rd Ste 100, Lorain, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Samuel R Borsellino attended and graduated from Ohio State University College Of Medicine in 1999
NPI Data:
- NPI Number: 1174540173
- Provider Enumeration Date: 07/16/2006
- Last Update Date: 09/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 5597766493
- Enrollment ID: I20070119000260
Medical Identifiers
Medical identifiers for Samuel R Borsellino such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174540173 | NPI | - | NPPES |
| 2710687 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084N0400X | Psychiatry & Neurology - Neurology | 2016-02431 (North Carolina) | Secondary |
| 207T00000X | Neurological Surgery | 2016-02431 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mercy Health Physicians Lorain Specialty Care Llc | 4688070055 | 115 |
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 R Borsellino allows following entities to bill medicare on his behalf.
| Entity Name | Mercy Health Physicians Lorain Specialty Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972126381
PECOS PAC ID: 4688070055
Enrollment ID: O20210909003432 |
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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 R Borsellino 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 |
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Samuel R Borsellino, MD
3600 Kolbe Rd Ste 100,
Lorain, OH 44053-1652
Ph: (440) 930-6015 | Samuel R Borsellino, MD
3600 Kolbe Rd Ste 100,
Lorain, OH 44053-1652
Ph: (440) 930-6015 |
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