| Jacob David Sams, MD | |
|
104 Ashland Ave., Mt. Zion, IL 62549 | |
| (217) 864-2665 | |
| (217) 864-8042 |
| Full Name | Jacob David Sams |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 17 Years |
| Location | 104 Ashland Ave., Mt. Zion, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730340498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 036132006 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hshs Home Care Southern Illinois | Effingham, IL | Home health agency |
| Memorial Home Services | Springfield, IL | Home health agency |
| Encompass Health Home Health | Springfield, IL | Home health agency |
| Decatur Memorial Hospital | Decatur, IL | Hospital |
| St Marys Hospital | Decatur, IL | Hospital |
| Kirby Medical Center | Monticello, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Decatur Orthopedic Center Llc | 4981844289 | 9 |
| Kirby Medical Center | 6901791144 | 60 |
| Entity Name | Pana Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942326970 PECOS PAC ID: 3274437348 Enrollment ID: O20031121000350 |
| Entity Name | Kirby Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386635373 PECOS PAC ID: 6901791144 Enrollment ID: O20050801000320 |
| Entity Name | Decatur Orthopedic Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336586114 PECOS PAC ID: 4981844289 Enrollment ID: O20130710000446 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob David Sams, MD Po Box 9632, Springfield, IL 62791-9632 Ph: (217) 864-2665 | Jacob David Sams, MD 104 Ashland Ave., Mt. Zion, IL 62549 Ph: (217) 864-2665 |