Samuel P Davis Iii, MD in Goldsboro, NC

Samuel P Davis Iii, MD is a medicare enrolled "Otolaryngology" physician in Goldsboro, North Carolina. He went to Wake Forest University School Of Medicine and graduated in 1993 and has 33 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Rex Hospital Inc, Unc Physicians Network Llc and his current practice location is 2707 Medical Office Pl, Goldsboro, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 735-9146.

Samuel P Davis Iii is licensed to practice in North Carolina (license number 9900469) 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 1982631768.

Contact Information

	Samuel P Davis Iii, MD
	2707 Medical Office Pl, Goldsboro, NC 27534-9458
	(919) 735-9146
	(919) 735-0582

Map and Direction

Physician's Profile

Full Name	Samuel P Davis Iii
Gender	Male
Speciality	Otolaryngology
Experience	33 Years
Location	2707 Medical Office Pl, Goldsboro, North Carolina
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 P Davis Iii attended and graduated from Wake Forest University School Of Medicine in 1993

NPI Data:

NPI Number: 1982631768
Provider Enumeration Date: 06/27/2006
Last Update Date: 05/07/2021

Medicare PECOS Information:

PECOS PAC ID: 6103821319
Enrollment ID: I20100916001140

Medical Identifiers

Medical identifiers for Samuel P Davis Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982631768	NPI	-	NPPES
040014729	Other	NC	PALMETTO GBA-RR MEDICARE
201036750	Medicaid	IN
891214V	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	01070226A (Indiana)	Secondary
207YS0123X	Otolaryngology - Facial Plastic Surgery	01070226A (Indiana)	Secondary
207Y00000X	Otolaryngology	9900469 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Rex Hospital	Raleigh, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rex Hospital Inc	0840109864	673
Unc Physicians Network Llc	5496940546	795

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 P Davis Iii allows following entities to bill medicare on his behalf.

Entity Name	Mann Ear Nose & Throat Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801838677 PECOS PAC ID: 6507946597 Enrollment ID: O20080103000220

Entity Name	Unc Physicians Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750704367 PECOS PAC ID: 5496940546 Enrollment ID: O20101115000646

Entity Name	Rex Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144248683 PECOS PAC ID: 0840109864 Enrollment ID: O20140613001181

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 P Davis 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 P Davis Iii, MD 2000 Perimeter Park Dr Ste 200, Morrisville, NC 27560-8442 Ph: () -	Samuel P Davis Iii, MD 2707 Medical Office Pl, Goldsboro, NC 27534-9458 Ph: (919) 735-9146

Reviews and Comments

Otolaryngology Doctors in Goldsboro, NC

Dr. Michael Johnson, MD, FACS Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2707 Medical Office Pl, Goldsboro, NC 27534 Phone: 919-735-9146 Fax: 919-735-0582
Mrs. Marilyn G Wallace, LPN Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2707 Medical Office Pl, Goldsboro, NC 27534 Phone: 919-735-9146 Fax: 919-735-0582
Ms. Fawn Serene Callie, PA-C Otolaryngology Medicare: Medicare Enrolled Practice Location: 2707 Medical Office Pl, Goldsboro, NC 27534 Phone: 919-735-9146 Fax: 919-735-0582
Collin Daniel Smith, DO Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2707 Medical Office Pl, Goldsboro, NC 27534 Phone: 740-407-1040 Fax: 919-735-0582

Samuel P Davis Iii, MD - Medicare Otolaryngology in Goldsboro, NC