Wassim Samra, MD - Medicare Internal Medicine in Jacksonville, FL

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Wassim Samra, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Jacksonville, Florida. His current practice location is 1301 Palm Ave, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 202-7300.

Wassim Samra is licensed to practice in Florida (license number ME125338) 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 1780947754.

Contact Information

Wassim Samra, MD
1301 Palm Ave,
Jacksonville, FL 32207-8432
(904) 202-7300
(904) 202-7433

Map and Direction




Physician's Profile

Full NameWassim Samra
GenderMale
SpecialityInternal Medicine - Hematology & Oncology
Location1301 Palm Ave, Jacksonville, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780947754
  • Provider Enumeration Date: 06/24/2012
  • Last Update Date: 06/14/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1153610555
  • Enrollment ID: I20160524000749

Medical Identifiers

Medical identifiers for Wassim Samra such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780947754NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RH0003XInternal Medicine - Hematology & Oncology ME125338 (Florida)Primary
207R00000XInternal Medicine ME125338 (Florida)Secondary
390200000XStudent In An Organized Health Care Education/training Program TRN17123 (Florida)Secondary

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. Wassim Samra allows following entities to bill medicare on his behalf.
Entity NameMd Now Medical Centers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033195474
PECOS PAC ID: 3971554825
Enrollment ID: O20050208000625
Entity NameBaptist Md Anderson Cancer Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538593124
PECOS PAC ID: 5991932063
Enrollment ID: O20131217000276
Entity NameUniversity Of Miami
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013967827
PECOS PAC ID: 3274795109
Enrollment ID: O20200406001006

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. Wassim Samra 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 AddressPractice Location Address
Wassim Samra, MD
Po Box 746654,
Atlanta, GA 30374-6654

Ph: (904) 202-2092		Wassim Samra, MD
1301 Palm Ave,
Jacksonville, FL 32207-8432

Ph: (904) 202-7300

Reviews and Comments


Internal Medicine Doctors in Jacksonville, FL

Dr. Jami Ann Rothe Kinnucan, M.D.
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Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
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Sandrela Mussallam Abu Shaibeh,
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Krunal Patel, MD
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Zaid Abdel Rahman, M.D.
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Phone: 904-953-2000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.