Dr Tilly Effie Duncan-sampson, MD - Medicare Pediatrics in Lima, OH

Dr Tilly Effie Duncan-sampson, MD is a medicare enrolled "Pediatrics" physician in Lima, Ohio. Her current practice location is 1005 Bellefontaine Ave Ste 245, Lima, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 998-8230.

Dr Tilly Effie Duncan-sampson is licensed to practice in Ohio (license number 35.077031) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1598775801.

Contact Information

Dr Tilly Effie Duncan-sampson, MD
1005 Bellefontaine Ave Ste 245,
Lima, OH 45804-2884
(419) 998-8230
(419) 998-8231

Map and Direction




Physician's Profile

Full NameDr Tilly Effie Duncan-sampson
GenderFemale
SpecialityPediatrics
Location1005 Bellefontaine Ave Ste 245, Lima, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1598775801
  • Provider Enumeration Date: 08/09/2006
  • Last Update Date: 02/26/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9032525076
  • Enrollment ID: I20210317000666

Medical Identifiers

Medical identifiers for Dr Tilly Effie Duncan-sampson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598775801NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 35.077031 (Ohio)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 Tilly Effie Duncan-sampson allows following entities to bill medicare on her behalf.
Entity NameLima Memorial Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457474900
PECOS PAC ID: 1254232184
Enrollment ID: O20040115000131

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 Tilly Effie Duncan-sampson 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 Tilly Effie Duncan-sampson, MD
1001 Bellefontaine Ave,
Lima, OH 45804-2800

Ph: (419) 998-4575
Dr Tilly Effie Duncan-sampson, MD
1005 Bellefontaine Ave Ste 245,
Lima, OH 45804-2884

Ph: (419) 998-8230

Reviews and Comments


Pediatrics Doctors in Lima, OH

Hussein Ibrahim Kashk, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 967 Bellefontaine Ave, Lima, OH 45804
Phone: 419-996-5895    
Albert Anthony Phillips Ii, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 730 W Market St, Lima, OH 45801
Phone: 419-227-3361    
Dr. Sheilla D Mcneal, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 830 W High St, Suite 102, Lima, OH 45801
Phone: 419-222-4045    Fax: 419-228-5665
Dr. Teresa Jean Byrne, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 830 W High St, Suite 102 And Suite 201, Lima, OH 45801
Phone: 419-222-4045    Fax: 419-228-5665
Magdalino M Tatad, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 730 W Market St, Lima, OH 45801
Phone: 419-226-9065    
Dr. Rajbir Singh Bajwa, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 830 W High St, Suite 102, Lima, OH 45801
Phone: 419-222-4045    Fax: 419-228-5665
Dr. Jill Ellen Emerick, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 750 W High St, Lima, OH 45801
Phone: 419-996-5240    Fax: 419-996-5242

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.