Samuel G Putnam Iii, MD in Southaven, MS - Medicare Interventional Radiology

Samuel G Putnam Iii, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Southaven, Mississippi. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice Geisinger Clinic, Woodlands Health Group, Pllc, Central Washington Health Services Association, Advanced Urology Pllc 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 G Putnam Iii 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 G Putnam Iii, MD
	55 Physicians Ln, Southaven, MS 38671-9569
	(662) 655-2136
	(662) 996-2214

Map and Direction

Physician's Profile

Full Name	Samuel G Putnam Iii
Gender	Male
Speciality	Interventional Radiology
Experience	38 Years
Location	55 Physicians Ln, Southaven, Mississippi
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 G Putnam Iii graduated from medical school in 1986

NPI Data:

NPI Number: 1023066404
Provider Enumeration Date: 05/05/2006
Last Update Date: 10/17/2021

Medicare PECOS Information:

PECOS PAC ID: 5991699522
Enrollment ID: I20040212000699

Medical Identifiers

Medical identifiers for Samuel G Putnam Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023066404	NPI	-	NPPES
8215722	Other	PA	CIGNA HMO/PPO
1172545	Other	PA	AETNA HMO
0546464000	Other	PA	IBC - PC/KHPE
710371	Other	PA	HIGHMARK BLUE SHIELD
0012723560016	Medicaid	PA
0546464000	Other	PA	AMERIHEALTH/INTERCOUNTY
30026885	Other	PA	KEYSTONE MERCY
300099781	Other	PA	RRM
7929044	Other	PA	AETNA PPO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	MD041221E (Pennsylvania)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	C1-0011573 (Delaware)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	MD041221E (Pennsylvania)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	C1-0011573 (Delaware)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	63241 (Tennessee)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	28916 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Geisinger Medical Center	Danville, PA	Hospital
Central Washington Hospital	Wenatchee, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Geisinger Clinic	5395657001	2866
Woodlands Health Group, Pllc	2567706500	4
Central Washington Health Services Association	4880504596	645
Advanced Urology Pllc	2365346558	44

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 G Putnam Iii allows following entities to bill medicare on his behalf.

Entity Name	Geisinger Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518

Entity Name	Guthrie Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962451153 PECOS PAC ID: 6002728656 Enrollment ID: O20040301000571

Entity Name	Christiana Care Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659547560 PECOS PAC ID: 9739097569 Enrollment ID: O20080730000317

Entity Name	Geisinger-hm Joint Venture Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 G Putnam Iii 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 G Putnam Iii, MD 26500 Agoura Rd Ste 102-587, Calabasas, CA 91302-1952 Ph: (818) 880-8605	Samuel G Putnam Iii, MD 55 Physicians Ln, Southaven, MS 38671-9569 Ph: (662) 655-2136

Reviews and Comments

Radiology Doctors in Southaven, MS

Loi T Vu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 7420 Guthrie Dr N Ste 105, Southaven, MS 38671 Phone: 662-349-4321 Fax: 662-349-3263
Shadell Cater, RDMS,RVT Radiology Medicare: Not Enrolled in Medicare Practice Location: 7165 Swinnea Rd Bldg B2, Southaven, MS 38671 Phone: 662-612-4658
Omar F Ghandour, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-2130 Fax: 662-772-2131

Samuel G Putnam Iii, MD - Medicare Interventional Radiology in Southaven, MS