Dr Jeffrey Sam, DO - Medicare Internal Medicine in Lemont, IL

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Dr Jeffrey Sam, DO is a medicare enrolled "Internal Medicine" physician in Lemont, Illinois. His current practice location is 14268 Lacey Dr, Lemont, Illinois. You can reach out to his office (for appointments etc.) via phone at (630) 414-9335.

Dr Jeffrey Sam is licensed to practice in Illinois (license number 036.168925) 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 1912588138.

Contact Information

Dr Jeffrey Sam, DO
14268 Lacey Dr,
Lemont, IL 60439-8549
(630) 414-9335
Not Available

Map and Direction




Physician's Profile

Full NameDr Jeffrey Sam
GenderMale
SpecialityInternal Medicine
Location14268 Lacey Dr, Lemont, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912588138
  • Provider Enumeration Date: 04/19/2021
  • Last Update Date: 08/06/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7315349735
  • Enrollment ID: I20241104001699

Medical Identifiers

Medical identifiers for Dr Jeffrey Sam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912588138NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 036.168925 (Illinois)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (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 Jeffrey Sam allows following entities to bill medicare on his behalf.
Entity Name24 On Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346480431
PECOS PAC ID: 5698688141
Enrollment ID: O20090609000389

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 Jeffrey Sam 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 Jeffrey Sam, DO
14268 Lacey Dr,
Lemont, IL 60439-8549

Ph: (630) 414-9335		Dr Jeffrey Sam, DO
14268 Lacey Dr,
Lemont, IL 60439-8549

Ph: (630) 414-9335

Reviews and Comments


Internal Medicine Doctors in Lemont, IL

Reshma Lachman Relwani, DO
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Phone: 630-257-5400    
Ilah Marie Heller-bair, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 15505 127th St, Lemont, IL 60439
Phone: 630-257-5400    Fax: 630-257-1954
Dr. Teresa Christine Olivares, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 15505 E 127th St, Lemont, IL 60439
Phone: 630-857-3545    Fax: 630-857-3545
Dr. Jacek Grela, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1011 State St, Suite 140, Lemont, IL 60439
Phone: 630-754-0141    
Catherine Baker, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15505 127th St, Lemont, IL 60439
Phone: 630-257-2265    

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.