Mr Samuel Anthony Minaker, MD in Tyler, TX

Mr Samuel Anthony Minaker, MD is a medicare enrolled "Ophthalmology" physician in Tyler, Texas. He graduated from medical school in 2016 and has 10 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Illinois Retina Associates, Pllc, Eye Center Physicians, Ltd., Illinois Retina Associates, Pllc and his current practice location is 1201 W Grande Blvd, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 597-4644.

Mr Samuel Anthony Minaker is licensed to practice in Texas (license number V9664) 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 1174194955.

Contact Information

	Mr Samuel Anthony Minaker, MD
	1201 W Grande Blvd, Tyler, TX 75703-6124
	(903) 597-4644
	(903) 266-9449

Map and Direction

Physician's Profile

Full Name	Mr Samuel Anthony Minaker
Gender	Male
Speciality	Ophthalmology
Experience	10 Years
Location	1201 W Grande Blvd, Tyler, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Samuel Anthony Minaker graduated from medical school in 2016

NPI Data:

NPI Number: 1174194955
Provider Enumeration Date: 07/02/2021
Last Update Date: 10/01/2025

Medicare PECOS Information:

PECOS PAC ID: 2961806112
Enrollment ID: I20210810001725

Medical Identifiers

Medical identifiers for Mr Samuel Anthony Minaker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174194955	NPI	-	NPPES
036155679	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207WX0107X	Ophthalmology - Retina Specialist	V9664 (Texas)	Secondary
207W00000X	Ophthalmology	036155679 (Illinois)	Secondary
207WX0107X	Ophthalmology - Retina Specialist	036.155679 (Illinois)	Secondary
207W00000X	Ophthalmology	V9664 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Rush University Medical Center	Chicago, IL	Hospital
Northshore University Healthsystem - Evanston Hospital	Evanston, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Illinois Retina Associates, Pllc	6709799810	17
Eye Center Physicians, Ltd.	2567411325	36
Illinois Retina Associates, Pllc	6709799810	17

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. Mr Samuel Anthony Minaker allows following entities to bill medicare on his behalf.

Entity Name	Illinois Retina Associates, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225038870 PECOS PAC ID: 6709799810 Enrollment ID: O20050627001092

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. Mr Samuel Anthony Minaker 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
Mr Samuel Anthony Minaker, MD 4539 Cascades Shoreline Dr, Tyler, TX 75709-8902 Ph: (773) 590-9184	Mr Samuel Anthony Minaker, MD 1201 W Grande Blvd, Tyler, TX 75703-6124 Ph: (903) 597-4644

Reviews and Comments

Ophthalmology Doctors in Tyler, TX

Ronald J Pinkenburg, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 2440 E 5th St, Tyler, TX 75701 Phone: 903-595-0500 Fax: 903-595-2153
Dr. Ming Lu, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1327 Troup Hwy, Tyler, TX 75701 Phone: 903-531-4733
Gary L Womack, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1327 Troup Hwy, Tyler, TX 75701 Phone: 903-606-4733
Mrs. Rebecca O Jones, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1424 East Front, Tyler, TX 75702 Phone: 903-595-4144 Fax: 903-596-5491
Dr. Jeremy Russell Cefalu, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1327 Troup Hwy, Tyler, TX 75701 Phone: 903-606-4733
Michael C. Ford, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 714 Turtle Creek Dr, Tyler, TX 75701 Phone: 903-630-5037 Fax: 903-258-9643

Mr Samuel Anthony Minaker, MD - Medicare Ophthalmology in Tyler, TX