Randall Ray Samberson, MD is a medicare enrolled "Surgery" physician in Rockport, Texas. He went to Texas Tech University Health Science Center School Of Medicine and graduated in 1976 and has 48 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Urgent Specialty Associates Of Texas Pllc and his current practice location is
1121 Highway 35 N, Rockport, Texas. You can reach out to his office (for appointments etc.) via phone at
(361) 524-2004.
Randall Ray Samberson is licensed to practice in Texas (license number E6598) 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 1588677801.
Physician's Profile
| Full Name | Randall Ray Samberson |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 48 Years |
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| Location | 1121 Highway 35 N, Rockport, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Randall Ray Samberson attended and graduated from Texas Tech University Health Science Center School Of Medicine in 1976
NPI Data:
- NPI Number: 1588677801
- Provider Enumeration Date: 08/15/2006
- Last Update Date: 08/04/2015
Medicare PECOS Information:
- PECOS PAC ID: 9032116207
- Enrollment ID: I20061031000533
Medical Identifiers
Medical identifiers for Randall Ray Samberson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588677801 | NPI | - | NPPES |
| 0356867-01 | Medicaid | TX | |
| 00RB70 | Other | TX | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | E6598 (Texas) | Primary |
| 2086S0129X | Surgery - Vascular Surgery | E6598 (Texas) | Secondary |
| 208C00000X | Colon & Rectal Surgery | E6598 (Texas) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Urgent Specialty Associates Of Texas Pllc | 6507258209 | 49 |
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. Randall Ray Samberson allows following entities to bill medicare on his behalf.
| Entity Name | Urgent Specialty Associates Of Texas Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790350445
PECOS PAC ID: 6507258209
Enrollment ID: O20220107002070 |
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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. Randall Ray Samberson 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 |
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Randall Ray Samberson, MD
Po Box 1299,
Aransas Pass, TX 78335-1299
Ph: (361) 524-2004 | Randall Ray Samberson, MD
1121 Highway 35 N,
Rockport, TX 78382-3112
Ph: (361) 524-2004 |
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