| Dr Lorenzo Keith Sampson, MD | |
|
410 University Pkwy Ste 2310, Aiken, SC 29801-6835 | |
| (803) 648-1318 | |
| (803) 642-7803 |
| Full Name | Dr Lorenzo Keith Sampson |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 33 Years |
| Location | 410 University Pkwy Ste 2310, Aiken, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346213220 | NPI | - | NPPES |
| 145641002 | Medicaid | TX | |
| 266946 | Medicaid | SC | |
| 8H8817 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | K8468 (Texas) | Secondary |
| 208600000X | Surgery | 26694 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aiken Regional Medical Center | Aiken, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aiken Professional Association Llc | 0446430805 | 48 |
| Entity Name | Aiken Professional Association Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639479801 PECOS PAC ID: 0446430805 Enrollment ID: O20110202000685 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lorenzo Keith Sampson, MD 367 S. Gulph Rd, Att: Ipm Credentialing, King Of Prussia, PA 19406-3121 Ph: (803) 648-1318 | Dr Lorenzo Keith Sampson, MD 410 University Pkwy Ste 2310, Aiken, SC 29801-6835 Ph: (803) 648-1318 |
Jack L Ratliff, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 739 Hayne Ave Sw, Aiken, SC 29801 Phone: 803-233-6576 Fax: 803-233-4675 | |
Steven William Boehm, Surgery Medicare: Medicare Enrolled Practice Location: 410 University Pkwy Ste 2310, Aiken, SC 29801 Phone: 803-648-1318 | |
Dr. Allison Buchanan Enter, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 410 University Pkwy Ste 2310, Aiken, SC 29801 Phone: 803-648-1318 Fax: 803-642-7803 | |
Joseph R Cunningham, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 302 University Parkway, Aiken, SC 29801 Phone: 803-641-5000 Fax: 803-641-5670 | |
Robert Cooper Terry, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 410 University Pkwy, Suite 2310, Aiken, SC 29801 Phone: 803-648-1318 Fax: 803-226-0111 | |
Wayne T Frei, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 410 University Pkwy, Suite 2310, Aiken, SC 29801 Phone: 803-648-1318 Fax: 803-226-0111 |