Dr Samuel Edwin Schrack, DO is a medicare enrolled "Family Medicine" physician in Laporte, Pennsylvania. He went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 1988 and has 37 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice North Penn Comprehensive Health Services, Rural Health Corporation Of Northeastern Pennsylvania and his current practice location is
217 King Street, Laporte, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 946-5101.
Dr Samuel Edwin Schrack is licensed to practice in Pennsylvania (license number OS007012E) 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 1114926920.
Physician's Profile
| Full Name | Dr Samuel Edwin Schrack |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 37 Years |
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| Location | 217 King Street, Laporte, Pennsylvania |
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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. |
Medical Education and Training:
- Dr Samuel Edwin Schrack attended and graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 1988
NPI Data:
- NPI Number: 1114926920
- Provider Enumeration Date: 07/14/2005
- Last Update Date: 03/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 8426075995
- Enrollment ID: I20051025000386
Medical Identifiers
Medical identifiers for Dr Samuel Edwin Schrack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1114926920 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | OS007012E (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| North Penn Comprehensive Health Services | 0446245880 | 42 |
| Rural Health Corporation Of Northeastern Pennsylvania | 1052362662 | 6 |
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 Edwin Schrack allows following entities to bill medicare on his behalf.
| Entity Name | North Penn Comprehensive Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912093576 PECOS PAC ID: 0446245880 Enrollment ID: O20040416000152 |
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| Entity Name | Rural Health Corporation Of Northeastern Pennsylvania |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265801112 PECOS PAC ID: 1052362662 Enrollment ID: O20050201000488 |
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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 Edwin Schrack 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 Edwin Schrack, DO 40 W Wellsboro St, Mansfield, PA 16933-1411 Ph: (570) 662-1945 | Dr Samuel Edwin Schrack, DO 217 King Street, Laporte, PA 18626-0095 Ph: (570) 946-5101 |
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