Jonmichael Samsel, DO in Kingsport, TN

Jonmichael Samsel, DO is a medicare enrolled "Dermatology" physician in Kingsport, Tennessee. His current practice location is 2300 W Stone Dr, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 246-4961.

Jonmichael Samsel is licensed to practice in Tennessee (license number 6253) 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 1003492653.

Contact Information

	Jonmichael Samsel, DO
	2300 W Stone Dr, Kingsport, TN 37660-2360
	(423) 246-4961
	(423) 245-3136

Map and Direction

Physician's Profile

Full Name	Jonmichael Samsel
Gender	Male
Speciality	Dermatology
Location	2300 W Stone Dr, Kingsport, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003492653
Provider Enumeration Date: 03/23/2021
Last Update Date: 08/01/2025

Medicare PECOS Information:

PECOS PAC ID: 2365843828
Enrollment ID: I20230314001853

Medical Identifiers

Medical identifiers for Jonmichael Samsel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003492653	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	0102207529 (Virginia)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207N00000X	Dermatology	6253 (Tennessee)	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. Jonmichael Samsel allows following entities to bill medicare on his behalf.

Entity Name	Signify Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210226002383

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. Jonmichael Samsel 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
Jonmichael Samsel, DO 2300 W Stone Dr, Kingsport, TN 37660-2360 Ph: (423) 246-4961	Jonmichael Samsel, DO 2300 W Stone Dr, Kingsport, TN 37660-2360 Ph: (423) 246-4961

Reviews and Comments

Dermatology Doctors in Kingsport, TN

Dr. Kyle Phillip Radack, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2300 W Stone Dr, Kingsport, TN 37660 Phone: 423-246-4961 Fax: 423-245-3136
Julia Erin Reid, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2300 W Stone Dr, Kingsport, TN 37660 Phone: 423-246-4961 Fax: 423-245-3136
James P Rash, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2300 W Stone Dr, Kingsport, TN 37660 Phone: 423-246-4961 Fax: 423-245-3136
Allison Pierce, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2300 W Stone Dr, Kingsport, TN 37660 Phone: 423-246-4961 Fax: 423-245-3136
Holly A Sanders, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2300 W Stone Dr, Kingsport, TN 37660 Phone: 423-246-4961 Fax: 423-246-5463
Chadwick J Thomas, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2300 W Stone Dr, Kingsport, TN 37660 Phone: 423-246-4961 Fax: 423-245-3136
Carri Beth Homoky, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2300 W Stone Dr, Kingsport, TN 37660 Phone: 423-246-4961 Fax: 423-245-3136

Jonmichael Samsel, DO - Medicare Dermatology in Kingsport, TN