Samuel L Zuckerman, MD in Idaho Falls, ID

Samuel L Zuckerman, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Idaho Falls, Idaho. His current practice location is Mountain Neonatology Llc, 3100 Channing Way, Idaho Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (602) 346-7013.

Samuel L Zuckerman is licensed to practice in Idaho (license number M-15488) 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 1831156595.

Contact Information

	Samuel L Zuckerman, MD
	Mountain Neonatology Llc, 3100 Channing Way, Idaho Falls, ID 83404-7533
	(602) 346-7013
	Not Available

Map and Direction

Physician's Profile

Full Name	Samuel L Zuckerman
Gender	Male
Speciality	Pediatrics - Pediatric Critical Care Medicine
Location	Mountain Neonatology Llc, Idaho Falls, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831156595
Provider Enumeration Date: 04/27/2006
Last Update Date: 12/10/2020

Medicare PECOS Information:

PECOS PAC ID: 8426079526
Enrollment ID: I20051216000474

Medical Identifiers

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

Identifier	Type	State	Issuer
1831156595	NPI	-	NPPES
132776910	Medicaid	TX
200102900 A	Medicaid	OH
33787336	Medicaid	NM
132776912	Medicaid	TX
132776911	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207LP3000X	Anesthesiology - Pediatric Anesthesiology	J9854 (Texas)	Secondary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	J9854 (Texas)	Secondary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	M-15488 (Idaho)	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. Samuel L Zuckerman allows following entities to bill medicare on his behalf.

Entity Name	Texas Tech University Health Sciences Center Amarillo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013942150 PECOS PAC ID: 9234037847 Enrollment ID: O20031220000051

Entity Name	Children's Physician Services Of South Texas
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568658227 PECOS PAC ID: 3678478872 Enrollment ID: O20040324001704

Entity Name	Bsa Physicians Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457696916 PECOS PAC ID: 3971748146 Enrollment ID: O20130319000147

Entity Name	Baylor College Of Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285079764 PECOS PAC ID: 0648405738 Enrollment ID: O20131025000939

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 L Zuckerman 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 L Zuckerman, MD 3100 Channing Way, Idaho Falls, ID 83404-7533 Ph: (210) 737-4928	Samuel L Zuckerman, MD Mountain Neonatology Llc, 3100 Channing Way, Idaho Falls, ID 83404-7533 Ph: (602) 346-7013

Reviews and Comments

Pediatrics Doctors in Idaho Falls, ID

Shannon Jenkins, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2860 Channing Way, Suite 100, Idaho Falls, ID 83404 Phone: 208-535-4575 Fax: 208-535-4569
Eric Peter Olson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3430 Washington Parkway, Idaho Falls, ID 83404 Phone: 208-523-3060 Fax: 208-523-0028
Dr. Jeffrey John Aughney, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 3430 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-523-3060
Brad Reid Edwards, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3430 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-523-3060 Fax: 208-523-0028
Dr. Nephi Andersen Redd, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3320 S 25th E, Idaho Falls, ID 83404 Phone: 208-656-1500
Dr. Joshua Michael Smith, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3910 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-523-1122 Fax: 208-523-2582
Dr. Steven Blake Colson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2330 Desoto St, Idaho Falls, ID 83404 Phone: 208-528-1039 Fax: 208-528-1939

Samuel L Zuckerman, MD - Medicare Pediatrics in Idaho Falls, ID