Samuel Kogan, MD/PHD in Mooresville, NC

Samuel Kogan, MD/PHD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Mooresville, North Carolina. His current practice location is 171 Fairview Rd, Mooresville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 660-4000.

Samuel Kogan is licensed to practice in North Carolina (license number 2026-01745) 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 1679100697.

Contact Information

	Samuel Kogan, MD/PHD
	171 Fairview Rd, Mooresville, NC 28117-9500
	(704) 660-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Samuel Kogan
Gender	Male
Speciality	Surgery - Plastic And Reconstructive Surgery
Location	171 Fairview Rd, Mooresville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679100697
Provider Enumeration Date: 03/27/2020
Last Update Date: 07/01/2026

Medicare PECOS Information:

PECOS PAC ID: 0345662557
Enrollment ID: I20200617000039

Medical Identifiers

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

Identifier	Type	State	Issuer
1679100697	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0122X	Surgery - Plastic And Reconstructive Surgery	2026-01745 (North Carolina)	Primary

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 Kogan 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 Kogan, MD/PHD 171 Fairview Rd, Mooresville, NC 28117-9500 Ph: () -	Samuel Kogan, MD/PHD 171 Fairview Rd, Mooresville, NC 28117-9500 Ph: (704) 660-4000

Reviews and Comments

Surgery Doctors in Mooresville, NC

Francis Michael Campbell, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 123 Professional Park Dr, Suite 101, Mooresville, NC 28117 Phone: 704-663-7905 Fax: 704-360-4954
Michelle Marie Bertsch, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 131 Medical Park Rd Ste 306, Mooresville, NC 28117 Phone: 704-660-2610 Fax: 704-660-2611
Wallace Clements Tarry, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 146 Medical Park Rd, Ste 206, Mooresville, NC 28117 Phone: 704-799-3939
Dr. Marissa Novack, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 146 Medical Park Rd Ste 202, Mooresville, NC 28117 Phone: 704-660-4584 Fax: 704-660-4028
Timothy Ryan Heider, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 106 Alexander Bank Dr Ste 300, Mooresville, NC 28117 Phone: 704-660-4584 Fax: 704-660-4967
Dr. Matthew Jeffrey Johnson Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 229 Medical Park Rd Ste 300, Mooresville, NC 28117 Phone: 704-360-9995 Fax: 704-360-2221
Brendan M Marr, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 131 Medical Park Rd Ste 303, Mooresville, NC 28117 Phone: 704-660-4584 Fax: 704-660-4967

Samuel Kogan, MD/PHD - Medicare Surgery in Mooresville, NC