Dr Jacob Arthur Sambursky, MD - Medicare Neurology in Fort Myers, FL

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Dr Jacob Arthur Sambursky, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Fort Myers, Florida. He graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Neurology. He is a member of the group practice St. Joseph Hospital Of Nashua Nh, Concord Hospital Inc, Concord Hospital-laconia, Virtual Neurology Texas Pllc, Virtual Neurology Texas Pllc, Lee Health System Inc, Nchmd Inc, Virtual Neurology Llc, Piedmont Hospitalist Physicians Llc, Piedmont Athens Hospitalist Physicians Llc, Mcleod Regional Medical Center Of The Pee Dee, Inc, Mcleod Loris Seacoast Hospital, Meritas Health Corporation, Legacy Clinics Llc and his current practice location is 11215 Metro Pkwy Ste 1, Fort Myers, Florida. You can reach out to his office (for appointments etc.) via phone at (239) 208-2212.

Dr Jacob Arthur Sambursky is licensed to practice in Florida (license number ME163526) 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 1619436474.

Contact Information

Dr Jacob Arthur Sambursky, MD
11215 Metro Pkwy Ste 1,
Fort Myers, FL 33966-1206
(239) 208-2212
Not Available

Map and Direction




Physician's Profile

Full NameDr Jacob Arthur Sambursky
GenderMale
SpecialityNeurology
Experience7 Years
Location11215 Metro Pkwy Ste 1, Fort Myers, Florida
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:
  • Dr Jacob Arthur Sambursky graduated from medical school in 2019
  NPI Data:
  • NPI Number: 1619436474
  • Provider Enumeration Date: 03/19/2019
  • Last Update Date: 10/31/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2365806262
  • Enrollment ID: I20230911003764

Medical Identifiers

Medical identifiers for Dr Jacob Arthur Sambursky such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619436474NPI-NPPES
119994300MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology 129103 (Montana)Secondary
2084N0400XPsychiatry & Neurology - Neurology U4918 (Texas)Secondary
2084N0400XPsychiatry & Neurology - Neurology ME163526 (Florida)Primary
2084N0400XPsychiatry & Neurology - Neurology 2023050076 (Missouri)Secondary
2084N0400XPsychiatry & Neurology - Neurology MD220486 (Oregon)Secondary
208M00000XHospitalist ME163526 (Florida)Secondary
2084N0400XPsychiatry & Neurology - Neurology 339110 (New York)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adventhealth OrlandoOrlando, FLHospital
Naples Community HospitalNaples, FLHospital
Adventhealth Daytona BeachDaytona beach, FLHospital
Adventhealth WatermanTavares, FLHospital
Fawcett Memorial HospitalPort charlotte, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St. Joseph Hospital Of Nashua Nh2062455611218
Concord Hospital Inc6103721790497
Concord Hospital-laconia7012326259241
Virtual Neurology Texas Pllc377991004785
Virtual Neurology Texas Pllc377991004785
Lee Health System Inc93356721461153
Nchmd Inc9436139565444
Virtual Neurology Llc9830425321102
Piedmont Hospitalist Physicians Llc1951299163396
Piedmont Athens Hospitalist Physicians Llc6305196411126
Mcleod Regional Medical Center Of The Pee Dee, Inc7416851852401
Mcleod Loris Seacoast Hospital9133394398122
Meritas Health Corporation6305748153434
Legacy Clinics Llc0244144004635

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 Jacob Arthur Sambursky allows following entities to bill medicare on his behalf.
Entity NameConcord Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194778571
PECOS PAC ID: 6103721790
Enrollment ID: O20040405000916
Entity NameSt. Joseph Hospital Of Nashua Nh
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093787384
PECOS PAC ID: 2062455611
Enrollment ID: O20050606000515
Entity NameConcord Hospital-laconia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053993741
PECOS PAC ID: 7012326259
Enrollment ID: O20210429001355
Entity NameConcord Hospital - Franklin
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1700960895
PECOS PAC ID: 4183033293
Enrollment ID: O20210504000723

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 Jacob Arthur Sambursky 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
Dr Jacob Arthur Sambursky, MD
Po Box 2147,
Fort Myers, FL 33902-2147

Ph: (239) 208-2212		Dr Jacob Arthur Sambursky, MD
11215 Metro Pkwy Ste 1,
Fort Myers, FL 33966-1206

Ph: (239) 208-2212

Reviews and Comments


Psychiatry & Neurology Doctors in Fort Myers, FL

Stanley Garken Lue, MD
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Practice Location: 11215 Metro Pkwy Ste 1, Fort Myers, FL 33966
Phone: 239-208-2212    Fax: 239-208-3994
Felix Gabriel Rivera - Perez, M.D.
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Practice Location: 11215 Metro Pkwy Ste 1, Fort Myers, FL 33966
Phone: 239-208-2212    
Erica Rene Wilt, M.D.
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Ellie Frazey, MD
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Dr. Mark Adam Giordano, M.D.
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Phone: 239-343-9180    Fax: 239-343-9188
Gustavo Silveira E Silva, M.D.
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Practice Location: 11215 Metro Pkwy Ste 100, Fort Myers, FL 33966
Phone: 239-208-2206    
Dr. Deepa Vaduthalakuzhy Luka, MD
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Medicare: Medicare Enrolled
Practice Location: 15901 Bass Rd Ste 108, Fort Myers, FL 33908
Phone: 239-343-6050    Fax: 239-343-6051

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.