Samuel Augustus Hofacker, MD in Philadelphia, PA

Samuel Augustus Hofacker, MD is a medicare enrolled "Hospitalist" physician in Philadelphia, Pennsylvania. His current practice location is 111 S 11th St, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 955-0735.

Samuel Augustus Hofacker is licensed to practice in Pennsylvania (license number MD480592) 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 1003443821.

Contact Information

	Samuel Augustus Hofacker, MD
	111 S 11th St, Philadelphia, PA 19107-4824
	(215) 955-0735
	Not Available

Map and Direction

Physician's Profile

Full Name	Samuel Augustus Hofacker
Gender	Male
Speciality	Hospitalist
Location	111 S 11th St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003443821
Provider Enumeration Date: 03/23/2020
Last Update Date: 08/16/2023

Medicare PECOS Information:

PECOS PAC ID: 7012327984
Enrollment ID: I20230703000176

Medical Identifiers

Medical identifiers for Samuel Augustus Hofacker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003443821	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	MD480592 (Pennsylvania)	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. Samuel Augustus Hofacker allows following entities to bill medicare on his behalf.

Entity Name	Jefferson University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232

Entity Name	Methodist Associates In Healthcare, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053355131 PECOS PAC ID: 6406755651 Enrollment ID: O20040402000835

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. Samuel Augustus Hofacker 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
Samuel Augustus Hofacker, MD 1025 Walnut St Ste 801, Philadelphia, PA 19107-5001 Ph: (215) 955-0735	Samuel Augustus Hofacker, MD 111 S 11th St, Philadelphia, PA 19107-4824 Ph: (215) 955-0735

Reviews and Comments

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Samuel Augustus Hofacker, MD - Medicare Hospitalist in Philadelphia, PA