Gregory L Samuelson, OD is a medicare enrolled "Optometrist" provider in Clarinda, Iowa. He went to Illinois College Of Optometry At Chicago and graduated in 1985 and has 39 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Eyecare Associates Of Southwest Iowa Inc and his current practice location is
116 E Washington St, Clarinda, Iowa. You can reach out to his office (for appointments etc.) via phone at
(712) 542-6513.
Gregory L Samuelson is licensed to practice in Iowa (license number 01841) 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 1487645156.
Healthcare Provider's Profile
| Full Name | Gregory L Samuelson |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 39 Years |
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| Location | 116 E Washington St, Clarinda, Iowa |
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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:
- Gregory L Samuelson attended and graduated from Illinois College Of Optometry At Chicago in 1985
NPI Data:
- NPI Number: 1487645156
- Provider Enumeration Date: 11/02/2005
- Last Update Date: 08/03/2012
Medicare PECOS Information:
- PECOS PAC ID: 6002705696
- Enrollment ID: I20100330000826
Medical Identifiers
Medical identifiers for Gregory L Samuelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487645156 | NPI | - | NPPES |
| 07428 | Other | IA | BCBS |
| 1487645156 | Other | | BLOCK VISION |
| 100249544-00 | Medicaid | NE | |
| 2262956 | Medicaid | IA | |
| 24362 | Other | | MIDLANDS CHOICE |
| 22-00001 | Other | | UHC |
| 07423 | Other | IA | BCBS |
| 930454 | Other | | EYEMED |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 01841 (Iowa) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Eyecare Associates Of Southwest Iowa Inc | 0749179331 | 3 |
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. Gregory L Samuelson allows following entities to bill medicare on his behalf.
| Provider Name | Eyecare Associates Of Southwest Iowa Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1801887484
PECOS PAC ID: 0749179331
Enrollment ID: O20040311001492 |
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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. Gregory L 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 |
|---|
Gregory L Samuelson, OD
401 N 18th St,
Clarinda, IA 51632-1524
Ph: (712) 542-5461 | Gregory L Samuelson, OD
116 E Washington St,
Clarinda, IA 51632-1611
Ph: (712) 542-6513 |
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