Dr Samuel Jacob Irving, MD, PHD - Medicare Emergency Medicine in Urbana, IL

  1. Home
  2. Emergency Medicine
  3. IL
  4. Urbana
Dr Samuel Jacob Irving, MD, PHD is a medicare enrolled "Emergency Medicine" physician in Urbana, Illinois. His current practice location is 611 W Park St, Urbana, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 383-3313.

Dr Samuel Jacob Irving is licensed to practice in Illinois (license number 036175827) 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 1790309847.

Contact Information

Dr Samuel Jacob Irving, MD, PHD
611 W Park St,
Urbana, IL 61801-2501
(217) 383-3313
(217) 383-3061

Map and Direction




Physician's Profile

Full NameDr Samuel Jacob Irving
GenderMale
SpecialityEmergency Medicine
Location611 W Park St, Urbana, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790309847
  • Provider Enumeration Date: 06/04/2020
  • Last Update Date: 07/24/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2062835846
  • Enrollment ID: I20230125002383

Medical Identifiers

Medical identifiers for Dr Samuel Jacob Irving such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790309847NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD-50281 (Iowa)Secondary
207P00000XEmergency Medicine 036175827 (Illinois)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. Dr Samuel Jacob Irving allows following entities to bill medicare on his behalf.
Entity NameState University Of Iowa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477554814
PECOS PAC ID: 7618884230
Enrollment ID: O20031107000060
Entity NameWashington County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235985003
PECOS PAC ID: 2062329931
Enrollment ID: O20031226000310

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. Dr Samuel Jacob Irving 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
Dr Samuel Jacob Irving, MD, PHD
611 W Park St, Fapc,
Urbana, IL 61801-2500

Ph: () -		Dr Samuel Jacob Irving, MD, PHD
611 W Park St,
Urbana, IL 61801-2501

Ph: (217) 383-3313

Reviews and Comments


Emergency Medicine Doctors in Urbana, IL

Dr. Carlos Enrique Brown Jr., M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 611 W Park St, Urbana, IL 61801
Phone: 217-383-3313    
Dr. Imran Khan, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 611 W Park St, Urbana, IL 61801
Phone: 217-383-3313    Fax: 217-383-4014
Dr. Brent Olson, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 611 W Park St, Urbana, IL 61801
Phone: 217-383-3313    Fax: 217-383-4014
Brendan Mcevoy, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 611 W Park St, Urbana, IL 61801
Phone: 217-383-3285    
Michael F Hegarty, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 611 W. Park Street, Emergency Medicine, Urbana, IL 61801
Phone: 217-383-4930    Fax: 217-383-4014
Ryan Paul Hurth, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 611 W Park St, Urbana, IL 61801
Phone: 217-383-3313    Fax: 217-383-4014
Lars Grant, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1400 W Park St, Emergency Department, Urbana, IL 61801
Phone: 217-337-2131    

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.