Samuel Adam Phelps, OD in Henderson, TN - Medicare Optometry Provider

Samuel Adam Phelps, OD is a medicare enrolled "Optometrist" provider in Henderson, Tennessee. He went to Southern College Of Optometry and graduated in 2009 and has 15 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Skyline Eye Clinic, Pc and his current practice location is 138 S Washington Ave, Henderson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 989-3511.

Samuel Adam Phelps is licensed to practice in Tennessee (license number 2957) 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 1164651998.

Contact Information

	Samuel Adam Phelps, OD
	138 S Washington Ave, Henderson, TN 38340-2323
	(731) 989-3511
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samuel Adam Phelps
Gender	Male
Speciality	Optometry
Experience	15 Years
Location	138 S Washington Ave, Henderson, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Samuel Adam Phelps attended and graduated from Southern College Of Optometry in 2009

NPI Data:

NPI Number: 1164651998
Provider Enumeration Date: 07/14/2009
Last Update Date: 10/24/2022

Medicare PECOS Information:

PECOS PAC ID: 3476608449
Enrollment ID: I20101109000481

Medical Identifiers

Medical identifiers for Samuel Adam Phelps such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164651998	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	0618001863 (Virginia)	Secondary
152W00000X	Optometrist	2957 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Skyline Eye Clinic, Pc	0042253882	9

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 Adam Phelps allows following entities to bill medicare on his behalf.

Provider Name	Skyline Eye Clinic, Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1154328813 PECOS PAC ID: 0042253882 Enrollment ID: O20050602001098

Provider Name	Phelps Eye Care, Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1134567845 PECOS PAC ID: 3173766029 Enrollment ID: O20130826000598

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 Adam Phelps 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 Adam Phelps, OD 668 Skyline Dr, Jackson, TN 38301-3951 Ph: (731) 424-2414	Samuel Adam Phelps, OD 138 S Washington Ave, Henderson, TN 38340-2323 Ph: (731) 989-3511

Reviews and Comments

Optometrist in Henderson, TN

Phelps Eye Care, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 138 S Washington Ave, Henderson, TN 38340 Phone: 731-989-3511 Fax: 731-989-3515
Dr. Karen Nicole Johnson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 401 E Main St, Henderson Family Eye Care, Pllc, Henderson, TN 38340 Phone: 731-435-1275 Fax: 731-435-1276
Henderson Family Eye Care, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 401 E Main St, Henderson, TN 38340 Phone: 731-435-1275 Fax: 731-435-1276
Dr. L. W. Bloomingburg, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 138 S Washington Ave, Henderson, TN 38340 Phone: 731-989-3511 Fax: 731-989-3515
Dr. Stuart Douglas Rogers, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 124 N Washington Ave, Henderson, TN 38340 Phone: 731-989-2711 Fax: 731-989-2778

Samuel Adam Phelps, OD - Medicare Optometrist in Henderson, TN