Samuel T Detwiler, DO is a medicare enrolled "Family Medicine" physician in Chicora, Pennsylvania. His current practice location is
160 Medical Center Rd Ste A, Chicora, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(833) 995-0123.
Samuel T Detwiler is licensed to practice in Pennsylvania (license number OS016525) 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 1548259617.
Physician's Profile
| Full Name | Samuel T Detwiler |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 160 Medical Center Rd Ste A, Chicora, Pennsylvania |
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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 T Detwiler attended and graduated from in
NPI Data:
- NPI Number: 1548259617
- Provider Enumeration Date: 10/20/2005
- Last Update Date: 05/08/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Samuel T Detwiler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548259617 | NPI | - | NPPES |
| 753111223027 | Other | OH | CARESOURCE |
| 000000285856 | Other | OH | ANTHEM BCBS |
| 2393299 | Medicaid | OH | |
| 000000285856 | Other | OH | UNICARE-LIFE AND HEALTH |
| P006463 | Other | OH | GATEWAY HEALTH PLAN OF OH |
| 4489898 | Other | OH | CIGNA |
| J07985 | Other | OH | SUMMACARE HEALTH PLAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 34-00-7985 (Ohio) | Secondary |
| 207Q00000X | Family Medicine | OS016525 (Pennsylvania) | 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. Samuel T Detwiler 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 T Detwiler, DO
Po Box 1549,
Butler, PA 16003-1549
Ph: (724) 284-4084 | Samuel T Detwiler, DO
160 Medical Center Rd Ste A,
Chicora, PA 16025-2612
Ph: (833) 995-0123 |
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