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. 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 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 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 Medicine
Location	2401 Fairview Ave N Ste 145, Roseville, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154986024
Provider Enumeration Date: 05/07/2019
Last Update Date: 05/29/2025

Medicare PECOS Information:

PECOS PAC ID: 6800263294
Enrollment ID: I20221027000563

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

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	Ecm Health Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346588852 PECOS PAC ID: 9436395225 Enrollment ID: O20130424000304

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: Accepting Medicare Assignments 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: Medicare Enrolled 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: Medicare Enrolled Practice Location: 2277 Highway 36 W Ste 140, Roseville, MN 55113 Phone: 612-255-0628

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