Dr William Simpson Sampson Iv, PHD in Charlotte, NC

Dr William Simpson Sampson Iv, PHD is a medicare enrolled "Psychologist - Clinical" provider in Charlotte, North Carolina. His current practice location is 10130 Perimeter Pkwy, Ste 200, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (888) 849-7379.

Dr William Simpson Sampson Iv is licensed to practice in North Carolina (license number 2960) 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 1629025655.

Contact Information

	Dr William Simpson Sampson Iv, PHD
	10130 Perimeter Pkwy, Ste 200, Charlotte, NC 28216-2447
	(888) 849-7379
	(855) 857-7333

Map and Direction

Healthcare Provider's Profile

Full Name	Dr William Simpson Sampson Iv
Gender	Male
Speciality	Psychologist - Clinical
Location	10130 Perimeter Pkwy, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629025655
Provider Enumeration Date: 05/27/2006
Last Update Date: 02/10/2017

Medicare PECOS Information:

PECOS PAC ID: 2668623810
Enrollment ID: I20121115000485

Medical Identifiers

Medical identifiers for Dr William Simpson Sampson Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629025655	NPI	-	NPPES
6001297	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	2960 (North Carolina)	Primary
103T00000X	Psychologist	(* (Not Available))	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. Dr William Simpson Sampson Iv allows following entities to bill medicare on his behalf.

Entity Name	Onsite Care Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912338328 PECOS PAC ID: 7012149222 Enrollment ID: O20140422000656

Entity Name	Eventus Wholehealth Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548759392 PECOS PAC ID: 6002169539 Enrollment ID: O20181030001281

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 William Simpson Sampson Iv 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
Dr William Simpson Sampson Iv, PHD 10130 Perimeter Pkwy, Ste 200, Charlotte, NC 28216-2447 Ph: (888) 849-7379	Dr William Simpson Sampson Iv, PHD 10130 Perimeter Pkwy, Ste 200, Charlotte, NC 28216-2447 Ph: (888) 849-7379

Reviews and Comments

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Dr William Simpson Sampson Iv, PHD - Medicare Psychologist in Charlotte, NC