Dr Ebenezer Sampong, DO in Hattiesburg, MS - Medicare Emergency Medicine

Dr Ebenezer Sampong, DO is a medicare enrolled "Emergency Medicine" physician in Hattiesburg, Mississippi. His current practice location is 5001 Hardy St, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 296-3963.

Dr Ebenezer Sampong is licensed to practice in Mississippi (license number 28989) 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 1093246613.

Contact Information

	Dr Ebenezer Sampong, DO
	5001 Hardy St, Hattiesburg, MS 39402
	(601) 296-3963
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Ebenezer Sampong
Gender	Male
Speciality	Emergency Medicine
Location	5001 Hardy St, Hattiesburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093246613
Provider Enumeration Date: 03/24/2017
Last Update Date: 07/29/2024

Medicare PECOS Information:

PECOS PAC ID: 6608107164
Enrollment ID: I20230823002357

Medical Identifiers

Medical identifiers for Dr Ebenezer Sampong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093246613	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	28989 (Mississippi)	Primary

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 Ebenezer Sampong allows following entities to bill medicare on his behalf.

Entity Name	Hancock Emergency Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295142396 PECOS PAC ID: 8022237015 Enrollment ID: O20140924002285

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 Ebenezer Sampong 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 Ebenezer Sampong, DO 12027 Parc Aux Chenes, Gulfport, MS 39503-4570 Ph: (918) 671-2813	Dr Ebenezer Sampong, DO 5001 Hardy St, Hattiesburg, MS 39402 Ph: (601) 296-3963

Reviews and Comments

Emergency Medicine Doctors in Hattiesburg, MS

Bradley Williams, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5001 Hardy St, Hattiesburg, MS 39402 Phone: 601-296-3963
Miju Yu Kurtzweil, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5001 Hardy St, Merit Health Wesley, Hattiesburg, MS 39402 Phone: 601-296-3963
Annette Longo, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5001 Hardy St, Hattiesburg, MS 39402 Phone: 601-268-8000
Dr. Carl Edward Johns Iii, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5001 Hardy St, Hattiesburg, MS 39402 Phone: 601-296-3963
Robert C Owen, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6051 Highway 49, Hattiesburg, MS 39401 Phone: 601-288-7000
Trent Woods, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6051 Highway 49, Hattiesburg, MS 39401 Phone: 601-288-7000

Dr Ebenezer Sampong, DO - Medicare Emergency Medicine in Hattiesburg, MS