Timothy V Samuelson, MD in Anchorage, AK - Medicare Emergency Medicine

Timothy V Samuelson, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Anchorage, Alaska. His current practice location is 3200 Providence Dr, Anchorage, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 261-3111.

Timothy V Samuelson is licensed to practice in Alaska (license number 1008) 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 1821085036.

Contact Information

	Timothy V Samuelson, MD
	3200 Providence Dr, Anchorage, AK 99508-4661
	(907) 261-3111
	(907) 565-8066

Map and Direction

Physician's Profile

Full Name	Timothy V Samuelson
Gender	Male
Speciality	Emergency Medicine - Emergency Medical Services
Location	3200 Providence Dr, Anchorage, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821085036
Provider Enumeration Date: 10/03/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4688588486
Enrollment ID: I20031201000485

Medical Identifiers

Medical identifiers for Timothy V Samuelson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821085036	NPI	-	NPPES
MD1188	Medicaid	AK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PE0004X	Emergency Medicine - Emergency Medical Services	1008 (Alaska)	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. Timothy V Samuelson allows following entities to bill medicare on his behalf.

Entity Name	Urgent Care Medical Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497781678 PECOS PAC ID: 8123918513 Enrollment ID: O20040318001007

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. Timothy V Samuelson 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
Timothy V Samuelson, MD 3427 E Tudor Rd, Suite A, Anchorage, AK 99507-1282 Ph: (907) 565-8005	Timothy V Samuelson, MD 3200 Providence Dr, Anchorage, AK 99508-4661 Ph: (907) 261-3111

Reviews and Comments

Emergency Medicine Doctors in Anchorage, AK

John E Hall, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3200 Providence Dr, Anchorage, AK 99508 Phone: 907-261-3111 Fax: 907-565-8066
Sandra Lee Gailey, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4315 Diplomacy Dr, Anchorage, AK 99508 Phone: 907-729-1729 Fax: 907-729-1759
Dr. Richard Wood, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 673 Mdg / Jb Elmendorf-richardson Usaf, 5955 Zeamer Ave, Anchorage, AK 99506 Phone: 907-580-5556
William D Longhurst, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4315 Diplomacy Dr, Anchorage, AK 99508 Phone: 907-553-2662
Rebecca Ervin, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5955 Zeamer Ave Bldg 5955, Anchorage, AK 99506 Phone: 907-580-5556
Dr. Leigh Martinez Wright, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4315 Diplomacy Dr, Alaska Native Medical Center, Anchorage, AK 99508 Phone: 907-729-1729
Dr. Frank H Moore, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 Providence Dr, Anchorage, AK 99508 Phone: 907-261-3111 Fax: 907-565-8066

Timothy V Samuelson, MD - Medicare Emergency Medicine in Anchorage, AK