Dr Samuel Jerome Durham, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Hays, Kansas. His current practice location is
2220 Canterbury Dr, Hays, Kansas. You can reach out to his office (for appointments etc.) via phone at
(785) 623-6544.
Dr Samuel Jerome Durham is licensed to practice in Kansas (license number 0440775) 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 1467459040.
Physician's Profile
| Full Name | Dr Samuel Jerome Durham |
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| Gender | Male |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 2220 Canterbury Dr, Hays, Kansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1467459040
- Provider Enumeration Date: 06/28/2005
- Last Update Date: 04/30/2018
Medicare PECOS Information:
- PECOS PAC ID: 3678628955
- Enrollment ID: I20191231001621
Medical Identifiers
Medical identifiers for Dr Samuel Jerome Durham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467459040 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2086S0129X | Surgery - Vascular Surgery | 4301074648 (Michigan) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 65938 (Ohio) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 0440775 (Kansas) | Primary |
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 Jerome Durham allows following entities to bill medicare on his behalf.
| Entity Name | St Alexius Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205868429
PECOS PAC ID: 8426960865
Enrollment ID: O20031104000146 |
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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 Jerome Durham 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 |
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Dr Samuel Jerome Durham, MD
2220 Canterbury Dr,
Hays, KS 67601-2370
Ph: (785) 623-6544 | Dr Samuel Jerome Durham, MD
2220 Canterbury Dr,
Hays, KS 67601-2370
Ph: (785) 623-6544 |
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