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 went to Univ Of Central Florida, College Of Medicine and graduated in 2019 and has 7 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Piedmont Athens Hospitalist Physicians Llc, Altru Health System, Virtual Neurology Texas Pllc, Virtual Neurology Llc, St. Joseph Hospital Of Nashua Nh, Piedmont Hospitalist Physicians Llc, Legacy Salmon Creek Hospital, Concord Hospital Inc, Meritas Health Corporation, Legacy Clinics Llc, Nchmd Inc, Kettering Independent Medical Group Inc, Concord Hospital-laconia, Lee Health System Inc 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 attended and graduated from Univ Of Central Florida, College Of Medicine in 2019
  NPI Data:
  • NPI Number: 1619436474
  • Provider Enumeration Date: 03/19/2019
  • Last Update Date: 05/18/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2365806262
  • Enrollment ID: I20231024002155

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 U4918 (Texas)Secondary
2084N0400XPsychiatry & Neurology - Neurology 2023050076 (Missouri)Secondary
2084N0400XPsychiatry & Neurology - Neurology 339110 (New York)Secondary
2084N0400XPsychiatry & Neurology - Neurology 129103 (Montana)Secondary
2084N0400XPsychiatry & Neurology - Neurology MD220486 (Oregon)Secondary
2084N0400XPsychiatry & Neurology - Neurology ME163526 (Florida)Primary
2084N0400XPsychiatry & Neurology - Neurology 78646 (Arizona)Secondary
208M00000XHospitalist ME163526 (Florida)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adventhealth OrlandoOrlando, FLHospital
Adventhealth Daytona BeachDaytona beach, FLHospital
Morton Plant HospitalClearwater, FLHospital
Christus St Michael Health SystemTexarkana, TXHospital
Adventhealth WatermanTavares, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Piedmont Athens Hospitalist Physicians Llc6305196411167
Altru Health System1355251604658
Virtual Neurology Texas Pllc3779910047152
Virtual Neurology Llc9830425321169
St. Joseph Hospital Of Nashua Nh2062455611272
Piedmont Hospitalist Physicians Llc1951299163497
Legacy Salmon Creek Hospital0446295711313
Concord Hospital Inc6103721790561
Meritas Health Corporation6305748153502
Legacy Clinics Llc0244144004718
Nchmd Inc9436139565511
Kettering Independent Medical Group Inc3173710936689
Concord Hospital-laconia7012326259270
Lee Health System Inc93356721461370

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 NamePiedmont Hospitalist Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548219660
PECOS PAC ID: 1951299163
Enrollment ID: O20040309000820
Entity NamePiedmont Athens Hospitalist Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578079000
PECOS PAC ID: 6305196411
Enrollment ID: O20180911003967

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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Phone: 239-208-2212    Fax: 239-208-3994
Felix Gabriel Rivera - Perez, M.D.
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Ellie Frazey, MD
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Gustavo Silveira E Silva, M.D.
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Dr. Deepa Vaduthalakuzhy Luka, MD
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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.