Samuel Douglass, DO in Boise, ID - Medicare Diagnostic Radiology

Samuel Douglass, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Boise, Idaho. He went to Rocky Vista University College Of Osteopathic Med and graduated in 2015 and has 10 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice University Of Utah Adult Services, Gem State Radiology Llp, Intermountain Medical Imaging Llc, Gem State Radiology Llp and his current practice location is 1055 N Curtis Rd, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 367-2121.

Samuel Douglass is licensed to practice in Idaho (license number OC-0433) 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 1063801678.

Contact Information

	Samuel Douglass, DO
	1055 N Curtis Rd, Boise, ID 83706-1309
	(208) 367-2121
	(706) 596-6720

Map and Direction

Physician's Profile

Full Name	Samuel Douglass
Gender	Male
Speciality	Diagnostic Radiology
Experience	10 Years
Location	1055 N Curtis Rd, Boise, Idaho
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:

Samuel Douglass attended and graduated from Rocky Vista University College Of Osteopathic Med in 2015

NPI Data:

NPI Number: 1063801678
Provider Enumeration Date: 01/20/2015
Last Update Date: 04/18/2025

Medicare PECOS Information:

PECOS PAC ID: 6103106091
Enrollment ID: I20240712002972

Medical Identifiers

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

Identifier	Type	State	Issuer
1063801678	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	OP61322937 (Washington)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	DO219310 (Oregon)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	1539 (Nebraska)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	OC-0433 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Utah Hospitals And Clinics	Salt lake city, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Utah Adult Services	0941525273	1593
Gem State Radiology Llp	9335044833	35
Intermountain Medical Imaging Llc	7517870918	30
Gem State Radiology Llp	9335044833	35

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 Douglass allows following entities to bill medicare on his behalf.

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

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 Douglass 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 Douglass, DO 877 W Main St Ste 603, Boise, ID 83702-6070 Ph: (208) 954-8070	Samuel Douglass, DO 1055 N Curtis Rd, Boise, ID 83706-1309 Ph: (208) 367-2121

Reviews and Comments

Radiology Doctors in Boise, ID

Dr. Micheal George Adondakis, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2121 Fax: 706-596-6720
Jeffrey T Seabourn, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2161
Caroline D Sobota, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2161
Mr. Jesse W Spinner, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2121 Fax: 706-596-6720
Dr. Anna Willis Hudson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-954-8070 Fax: 208-954-8073
Brian Lane Mcmahan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2094 Fax: 208-381-1791
Craig E Leymaster, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2094

Samuel Douglass, DO - Medicare Diagnostic Radiology in Boise, ID