| Samuel N Price, DO | |
|
206 W Tyson St Ste 1a, Versailles, IN 47042-8036 | |
| (812) 689-5101 | |
| (812) 689-6199 |
| Full Name | Samuel N Price |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 9 Years |
| Location | 206 W Tyson St Ste 1a, Versailles, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316476823 | NPI | - | NPPES |
| 300038188 | Medicaid | IN | |
| 7100664390 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 125070950 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 02005959A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| King's Daughters' Health | Madison, IN | Hospital |
| Dearborn County Hospital | Lawrenceburg, IN | Hospital |
| Margaret Mary Community Hospital Inc | Batesville, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Medical Associates Inc | 7012811284 | 1310 |
| Entity Name | Community Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20040309000452 |
| Entity Name | Norton - Kings Daughters Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114955093 PECOS PAC ID: 9739089319 Enrollment ID: O20040520001611 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel N Price, DO Po Box 776351, Chicago, IL 60677-6351 Ph: (502) 588-9490 | Samuel N Price, DO 206 W Tyson St Ste 1a, Versailles, IN 47042-8036 Ph: (812) 689-5101 |
Robert H Mulford, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 128 N Main St, Versailles, IN 47042 Phone: 812-689-5101 Fax: 812-265-0570 |