Dr Samuel Jesse Anthony Ii, DO in Roseville, MN

Dr Samuel Jesse Anthony Ii, DO is a medicare enrolled "Family Medicine" physician in Roseville, Minnesota. He went to Lincoln Mem Univ, Debusk Col Of Osteopathic Med and graduated in 2019 and has 6 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Herself Health Mn Pc and his current practice location is 2401 Fairview Ave N Ste 145, Roseville, Minnesota. You can reach out to his office (for appointments etc.) via phone at (888) 290-1209.

Dr Samuel Jesse Anthony Ii is licensed to practice in Minnesota (license number 76012) 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 1154986024.

Contact Information

	Dr Samuel Jesse Anthony Ii, DO
	2401 Fairview Ave N Ste 145, Roseville, MN 55113-2710
	(888) 290-1209
	(833) 973-3529

Map and Direction

Physician's Profile

Full Name	Dr Samuel Jesse Anthony Ii
Gender	Male
Speciality	Family Practice
Experience	6 Years
Location	2401 Fairview Ave N Ste 145, Roseville, Minnesota
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 Jesse Anthony Ii attended and graduated from Lincoln Mem Univ, Debusk Col Of Osteopathic Med in 2019

NPI Data:

NPI Number: 1154986024
Provider Enumeration Date: 05/07/2019
Last Update Date: 07/23/2025

Medicare PECOS Information:

PECOS PAC ID: 6800263294
Enrollment ID: I20240503002699

Medical Identifiers

Medical identifiers for Dr Samuel Jesse Anthony Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154986024	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	76012 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Grand Itasca Clinic And Hospital	Grand rapids, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Herself Health Mn Pc	6507234820	26

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 Jesse Anthony Ii allows following entities to bill medicare on his behalf.

Entity Name	Grand Itasca Clinic And Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669426631 PECOS PAC ID: 8123939550 Enrollment ID: O20031105000209

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 Jesse Anthony Ii 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 Jesse Anthony Ii, DO 20515 Aspen Dr, Grand Rapids, MN 55744-4792 Ph: () -	Dr Samuel Jesse Anthony Ii, DO 2401 Fairview Ave N Ste 145, Roseville, MN 55113-2710 Ph: (888) 290-1209

Reviews and Comments

Family Medicine Doctors in Roseville, MN

Keith Kenneth Krueger, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2336 Lexington Ave N, Roseville, MN 55113 Phone: 651-631-0065 Fax: 651-631-0096
Dr. Alison J Forney, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2831 Snelling Ave N, Roseville, MN 55113 Phone: 651-765-5900 Fax: 651-765-5901
Dr. Foung Lo, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 2680 Snelling Ave N, Suite 200, Roseville, MN 55113 Phone: 651-326-1600 Fax: 651-326-1565
Kari Lea Halvorson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2831 Snelling Ave N, Roseville, MN 55113 Phone: 952-967-6620
Norman Tracy Wolf, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1955 County Road B2 W, Roseville, MN 55113 Phone: 651-635-0054 Fax: 651-635-0949
Leah Bryan, MD, MSC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2277 Highway 36 W Ste 140, Roseville, MN 55113 Phone: 612-255-0628

Dr Samuel Jesse Anthony Ii, DO - Medicare Family Practice in Roseville, MN