Dr Samuel E Perkins Jr, MD is a medicare enrolled "Surgery" physician in Fernandina Beach, Florida. He went to Mercer University School Of Medicine and graduated in 1997 and has 28 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice North Florida Surgeons, Pa and his current practice location is
1340 S 18th St, Suite 104, Fernandina Beach, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 277-3277.
Dr Samuel E Perkins Jr is licensed to practice in Florida (license number ME 98802) 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 1780738765.
Physician's Profile
| Full Name | Dr Samuel E Perkins Jr |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 28 Years |
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| Location | 1340 S 18th St, Fernandina Beach, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Samuel E Perkins Jr attended and graduated from Mercer University School Of Medicine in 1997
NPI Data:
- NPI Number: 1780738765
- Provider Enumeration Date: 01/23/2007
- Last Update Date: 12/27/2017
Medicare PECOS Information:
- PECOS PAC ID: 9335176353
- Enrollment ID: I20080308000068
Medical Identifiers
Medical identifiers for Dr Samuel E Perkins Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780738765 | NPI | - | NPPES |
| 310129 | Other | FL | AVMED |
| 278432700 | Medicaid | FL | |
| 7621418 | Other | FL | AETNA |
| 78270 | Other | FL | BCBS |
| 8997131 | Other | FL | CIGNA |
| 000960242A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 046209 (Georgia) | Secondary |
| 208600000X | Surgery | ME 98802 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| North Florida Surgeons, Pa | 2769381391 | 316 |
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 Samuel E Perkins Jr allows following entities to bill medicare on his behalf.
| Entity Name | North Florida Surgeons, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912953290
PECOS PAC ID: 2769381391
Enrollment ID: O20040102000629 |
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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 Samuel E Perkins Jr 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 Samuel E Perkins Jr, MD
11945 San Jose Blvd., Bldg 300,
Jacksonville, FL 32223-1627
Ph: (904) 396-1725 | Dr Samuel E Perkins Jr, MD
1340 S 18th St, Suite 104,
Fernandina Beach, FL 32034-4733
Ph: (904) 277-3277 |
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