Dr Samuel T Duncan, MD - Medicare Ophthalmology in Maplewood, NJ

Dr Samuel T Duncan, MD is a medicare enrolled "Ophthalmology" physician in Maplewood, New Jersey. He went to Rutgers New Jersey Medical School and graduated in 1986 and has 38 years of diverse experience with area of expertise as Ophthalmology. His current practice location is 2040 Millburn Ave, Suite 303, Maplewood, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 762-4996.

Dr Samuel T Duncan is licensed to practice in New Jersey (license number 51424) 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 1063419810.

Contact Information

Dr Samuel T Duncan, MD
2040 Millburn Ave, Suite 303,
Maplewood, NJ 07040-3726
(973) 762-4996
(973) 762-4955

Map and Direction




Physician's Profile

Full NameDr Samuel T Duncan
GenderMale
SpecialityOphthalmology
Experience38 Years
Location2040 Millburn Ave, Maplewood, New Jersey
Accepts Medicare AssignmentsYes. 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 T Duncan attended and graduated from Rutgers New Jersey Medical School in 1986
  NPI Data:
  • NPI Number: 1063419810
  • Provider Enumeration Date: 07/07/2005
  • Last Update Date: 05/22/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2264322494
  • Enrollment ID: I20050822000631

Medical Identifiers

Medical identifiers for Dr Samuel T Duncan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063419810NPI-NPPES
5654602MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 51424 (New Jersey)Secondary
207W00000XOphthalmology 51424 (New Jersey)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 T Duncan allows following entities to bill medicare on his behalf.
Entity NameCalvary Medical Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598073306
PECOS PAC ID: 2466644000
Enrollment ID: O20101014000279

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 T Duncan 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 AddressPractice Location Address
Dr Samuel T Duncan, MD
378 Marion St,
Union, NJ 07083-4118

Ph: (973) 762-4996
Dr Samuel T Duncan, MD
2040 Millburn Ave, Suite 303,
Maplewood, NJ 07040-3726

Ph: (973) 762-4996

Reviews and Comments


Ophthalmology Doctors in Maplewood, NJ


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.