Samuel Grady Putnam, MD - Medicare Interventional Radiology in Southaven, MS

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Samuel Grady Putnam, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Southaven, Mississippi. He graduated from medical school in 1986 and has 40 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice Geisinger Clinic, Capital Health Multispecialty Group, Sanford Bismarck, Carle Health Care Incorporated, Kau Hospital and his current practice location is 55 Physicians Ln, Southaven, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 655-2136.

Samuel Grady Putnam is licensed to practice in Mississippi (license number 28916) 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 1023066404.

Contact Information

Samuel Grady Putnam, MD
55 Physicians Ln,
Southaven, MS 38671-9569
(662) 655-2136
(662) 996-2214

Map and Direction




Physician's Profile

Full NameSamuel Grady Putnam
GenderMale
SpecialityInterventional Radiology
Experience40 Years
Location55 Physicians Ln, Southaven, Mississippi
Accepts Medicare AssignmentsYes. 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 Grady Putnam graduated from medical school in 1986
  NPI Data:
  • NPI Number: 1023066404
  • Provider Enumeration Date: 05/05/2006
  • Last Update Date: 05/06/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5991699522
  • Enrollment ID: I20040212000699

Medical Identifiers

Medical identifiers for Samuel Grady Putnam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023066404NPI-NPPES
1172545OtherPAAETNA HMO
30026885OtherPAKEYSTONE MERCY
0012723560016MedicaidPA
0546464000OtherPAAMERIHEALTH/INTERCOUNTY
300099781OtherPARRM
7929044OtherPAAETNA PPO
0546464000OtherPAIBC - PC/KHPE
710371OtherPAHIGHMARK BLUE SHIELD
8215722OtherPACIGNA HMO/PPO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 25MA09575600 (New Jersey)Secondary
2085R0202XRadiology - Diagnostic Radiology MD041221E (Pennsylvania)Secondary
2085R0202XRadiology - Diagnostic Radiology C1-0011573 (Delaware)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology MD041221E (Pennsylvania)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 25MA09575600 (New Jersey)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 63241 (Tennessee)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology MD-23034 (Hawaii)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology C1-0011573 (Delaware)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 28916 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Geisinger Wyoming Valley Medical CenterWilkes barre, PAHospital
Capital Health Medical Center - HopewellPennington, NJHospital
Sanford Medical Center BismarckBismarck, NDHospital
Geisinger-community Medical CenterScranton, PAHospital
Capital Health Regional Medical CenterTrenton, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Geisinger Clinic53956570013078
Capital Health Multispecialty Group1850689894261
Sanford Bismarck9739098575492
Carle Health Care Incorporated3577515774912
Kau Hospital7416945548114

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 Grady Putnam allows following entities to bill medicare on his behalf.
Entity NameGeisinger Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366493868
PECOS PAC ID: 5395657001
Enrollment ID: O20040130000518
Entity NameGuthrie Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962451153
PECOS PAC ID: 6002728656
Enrollment ID: O20040301000571
Entity NameChristiana Care Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659547560
PECOS PAC ID: 9739097569
Enrollment ID: O20080730000317
Entity NameGeisinger-hm Joint Venture Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144876137
PECOS PAC ID: 1355676370
Enrollment ID: O20190826000803

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 Grady Putnam 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 AddressPractice Location Address
Samuel Grady Putnam, MD
26500 Agoura Rd Ste 102-587,
Calabasas, CA 91302-1952

Ph: (818) 880-8605		Samuel Grady Putnam, MD
55 Physicians Ln,
Southaven, MS 38671-9569

Ph: (662) 655-2136

Reviews and Comments


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Loi T Vu, MD
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.