Shane Sampson, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Detroit, Michigan. He graduated from medical school in 2022 and has 3 years of diverse experience with area of expertise as Neurology. His current practice location is
4201 Saint Antoine, Ste., 8c-uhc, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at
(313) 745-1302.
Shane Sampson is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1306532734.
Physician's Profile
| Full Name | Shane Sampson |
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| Gender | Male |
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| Speciality | Neurology |
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| Experience | 3 Years |
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| Location | 4201 Saint Antoine, Ste., Detroit, Michigan |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shane Sampson graduated from medical school in 2022
NPI Data:
- NPI Number: 1306532734
- Provider Enumeration Date: 04/18/2023
- Last Update Date: 06/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 4486011566
- Enrollment ID: I20250620002943
Medical Identifiers
Medical identifiers for Shane Sampson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306532734 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 4301514609 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Shane Sampson 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 |
|---|
Shane Sampson, MD
3990 John R St,
Detroit, MI 48201-2018
Ph: (313) 745-6035 | Shane Sampson, MD
4201 Saint Antoine, Ste., 8c-uhc,
Detroit, MI 48201
Ph: (313) 745-1302 |
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