Sammy Abid Yacob, DO - Medicare Diagnostic Radiology in Charlotte, NC

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Sammy Abid Yacob, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Charlotte, North Carolina. He went to Michigan State University College Of Osteopathic Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Advanced Radiology Services Pc, Spartan Radiology Inc and his current practice location is 3623 Latrobe Dr Ste 216, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 332-1291.

Sammy Abid Yacob is licensed to practice in North Carolina (license number 2018-00127) 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 1073941936.

Contact Information

Sammy Abid Yacob, DO
3623 Latrobe Dr Ste 216,
Charlotte, NC 28211-2117
(704) 332-1291
(704) 926-1832

Map and Direction




Physician's Profile

Full NameSammy Abid Yacob
GenderMale
SpecialityDiagnostic Radiology
Experience11 Years
Location3623 Latrobe Dr Ste 216, Charlotte, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sammy Abid Yacob attended and graduated from Michigan State University College Of Osteopathic Medicine in 2013
  NPI Data:
  • NPI Number: 1073941936
  • Provider Enumeration Date: 10/30/2013
  • Last Update Date: 01/31/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2769609775
  • Enrollment ID: I20190709001748

Medical Identifiers

Medical identifiers for Sammy Abid Yacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073941936NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 58.005263 (Ohio)Secondary
2085R0202XRadiology - Diagnostic Radiology 5101024642 (Michigan)Secondary
2085R0202XRadiology - Diagnostic Radiology 2018-00127 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Spectrum HealthGrand rapids, MIHospital
Covenant Medical CenterSaginaw, MIHospital
Midmichigan Medical Center-midlandMidland, MIHospital
Lakeland Hospital, St JosephSt joseph, MIHospital
Ascension Macomb Oakland Hosp-warren CampusWarren, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advanced Radiology Services Pc4284546516235
Spartan Radiology Inc5698003697179

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. Sammy Abid Yacob allows following entities to bill medicare on his behalf.
Entity NameAdvanced Radiology Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740283324
PECOS PAC ID: 4284546516
Enrollment ID: O20031104000494
Entity NameSpartan Radiology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932768058
PECOS PAC ID: 5698003697
Enrollment ID: O20190829001596
Entity NameMecklenburg Radiology Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295790657
PECOS PAC ID: 6800789587
Enrollment ID: O20240202002317

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. Sammy Abid Yacob 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
Sammy Abid Yacob, DO
Po Box 221249,
Charlotte, NC 28222-1249

Ph: (704) 332-1291		Sammy Abid Yacob, DO
3623 Latrobe Dr Ste 216,
Charlotte, NC 28211-2117

Ph: (704) 332-1291

Reviews and Comments


Radiology Doctors in Charlotte, NC

Whitney Feltus, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3623 Latrobe Dr Ste 216, Charlotte, NC 28211
Phone: 980-208-1704    Fax: 704-926-1832
Edward Barnwell Black, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1705 East Blvd, Charlotte, NC 28203
Phone: 704-909-5960    Fax: 704-770-0501
Thaddeus Drexel Houston, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1701 East Blvd, Charlotte, NC 28203
Phone: 704-334-7800    Fax: 704-414-7512
Matthew James Locker, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3623 Latrobe Dr Ste 216, Charlotte, NC 28211
Phone: 704-332-1291    Fax: 704-926-1832
Kelli A. Reardon, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 200 Queens Rd, Charlotte, NC 28204
Phone: 434-982-0777    Fax: 434-982-0792
Mr. Andrew Joseph Bojanowski, PA-C
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3623 Latrobe Dr Ste 216, Charlotte, NC 28211
Phone: 704-332-1291    
Dr. John William Black, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3623 Latrobe Dr, Suite 216, Charlotte, NC 28211
Phone: 704-332-1291    Fax: 704-332-5206

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.