Dr Samuel Gervais, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Anoka, Minnesota. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Healthpartners Medical Group and his current practice location is
601 Jacob Ln, Anoka, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(763) 587-4200.
Dr Samuel Gervais is licensed to practice in Minnesota (license number 964) 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 1396150793.
Healthcare Provider's Profile
| Full Name | Dr Samuel Gervais |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 10 Years |
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| Location | 601 Jacob Ln, Anoka, Minnesota |
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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:
- Dr Samuel Gervais graduated from medical school in 2014
NPI Data:
- NPI Number: 1396150793
- Provider Enumeration Date: 06/24/2014
- Last Update Date: 04/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 6103123559
- Enrollment ID: I20170816003271
Medical Identifiers
Medical identifiers for Dr Samuel Gervais such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396150793 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 964 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Healthpartners Medical Group | 1759293954 | 1429 |
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. Dr Samuel Gervais allows following entities to bill medicare on his behalf.
| Provider Name | Group Health Plan Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031105000417 |
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| Provider Name | Tria Orthopaedic Center Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1518273085
PECOS PAC ID: 3173570561
Enrollment ID: O20110310000999 |
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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. Dr Samuel Gervais 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 |
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Dr Samuel Gervais, DPM
8170 33rd Ave S, Ms 21110q,
Bloomington, MN 55425-4516
Ph: (763) 587-4200 | Dr Samuel Gervais, DPM
601 Jacob Ln,
Anoka, MN 55303
Ph: (763) 587-4200 |
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