Samuel Gray Deem, DO - Medicare Urology in Charleston, WV

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Samuel Gray Deem, DO is a medicare enrolled "Urology" physician in Charleston, West Virginia. He went to West Virginia School Of Osteopathic Medicine and graduated in 2004 and has 22 years of diverse experience with area of expertise as Urology. He is a member of the group practice Charleston Area Medical Center Inc, Camc Greenbrier Valley Medical Center Inc and his current practice location is 3100 Maccorkle Ave Se, Suite 602, Charleston, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 388-5120.

Samuel Gray Deem is licensed to practice in West Virginia (license number 2176) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1700909702.

Contact Information

Samuel Gray Deem, DO
3100 Maccorkle Ave Se, Suite 602,
Charleston, WV 25304-1223
(304) 388-5120
(304) 388-5125

Map and Direction




Physician's Profile

Full NameSamuel Gray Deem
GenderMale
SpecialityUrology
Experience22 Years
Location3100 Maccorkle Ave Se, Charleston, West Virginia
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samuel Gray Deem attended and graduated from West Virginia School Of Osteopathic Medicine in 2004
  NPI Data:
  • NPI Number: 1700909702
  • Provider Enumeration Date: 04/06/2007
  • Last Update Date: 12/01/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2860580610
  • Enrollment ID: I20071113000323

Medical Identifiers

Medical identifiers for Samuel Gray Deem such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700909702NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 2176 (West Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Charleston Area Medical CenterCharleston, WVHospital
Camc Greenbrier Valley Medical Center, IncRonceverte, WVHospital
Camc Charleston Surgical HospitalCharleston, WVHospital
Boone Memorial Hospital, IncMadison, WVHospital
Logan Regional Medical CenterLogan, WVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Charleston Area Medical Center Inc3375441637969
Camc Greenbrier Valley Medical Center Inc125470296279

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 Gray Deem allows following entities to bill medicare on his behalf.
Entity NameMonongalia County General Hospital Company
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447673223
PECOS PAC ID: 9638073380
Enrollment ID: O20031124000459
Entity NameCharleston Area Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124248752
PECOS PAC ID: 3375441637
Enrollment ID: O20031223000426
Entity NameCamc Greenbrier Valley Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588373872
PECOS PAC ID: 1254702962
Enrollment ID: O20230118000113

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 Gray Deem 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 Gray Deem, DO
3100 Maccorkle Ave Se Ste 602,
Charleston, WV 25304-1231

Ph: (304) 388-5280		Samuel Gray Deem, DO
3100 Maccorkle Ave Se, Suite 602,
Charleston, WV 25304-1223

Ph: (304) 388-5120

Reviews and Comments


Urology Doctors in Charleston, WV

Ross Samuel Oliver Jr., M.D.
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Practice Location: 2335 Chesterfield Avenue,, Suite 101, Charleston, WV 25304
Phone: 304-344-3785    Fax: 304-344-3765
Rodney D. Dean, MD
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Practice Location: 66 Quarry Ridge, Charleston, WV 25304
Phone: 304-330-4865    
James P. Tierney, DO
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Practice Location: 11 Courtney Drive, Charleston, WV 25304
Phone: 304-925-8521    Fax: 304-925-8523
Dr. Kyle Steven Ames, DO, MS
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Medicare: May Accept Medicare Assignments
Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304
Phone: 304-388-5280    Fax: 304-388-5291
Carly Rose Ulrich, DO
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Medicare: Accepting Medicare Assignments
Practice Location: 1220 Lee St E Ste 100, Charleston, WV 25301
Phone: 304-388-1965    
Bashir R. Sankari, M.D.
Urology
Medicare: Medicare Enrolled
Practice Location: 501 Morris Street, 5 West, Camc Renal Transplant Center, Charleston, WV 25301
Phone: 304-388-7823    Fax: 304-388-7820
Shozo Kurusu, MD
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 1313 Quarrier St, Charleston, WV 25301
Phone: 304-792-6275    

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.