Shane Timothy Sampson, MD in Centerville, OH

Shane Timothy Sampson, MD is a medicare enrolled "Family Medicine" physician in Centerville, Ohio. His current practice location is 1989 Miamisburg Centerville Rd Ste 301, Centerville, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 434-7353.

Shane Timothy Sampson is licensed to practice in Ohio (license number 35063468) 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 1023080116.

Contact Information

	Shane Timothy Sampson, MD
	1989 Miamisburg Centerville Rd Ste 301, Centerville, OH 45459-3858
	(937) 434-7353
	(937) 438-6569

Map and Direction

Physician's Profile

Full Name	Shane Timothy Sampson
Gender	Male
Speciality	Family Medicine
Location	1989 Miamisburg Centerville Rd Ste 301, Centerville, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023080116
Provider Enumeration Date: 02/03/2006
Last Update Date: 03/01/2019

Medicare PECOS Information:

PECOS PAC ID: 1951488766
Enrollment ID: I20220803001589

Medical Identifiers

Medical identifiers for Shane Timothy Sampson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023080116	NPI	-	NPPES
0891343	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	01038529 (Indiana)	Secondary
207Q00000X	Family Medicine	35063468 (Ohio)	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. Shane Timothy Sampson allows following entities to bill medicare on his behalf.

Entity Name	Rural Health Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871569061 PECOS PAC ID: 7214849520 Enrollment ID: O20031219000375

Entity Name	Ormond Medical Arts
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326254962 PECOS PAC ID: 1254222565 Enrollment ID: O20040324000407

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 Timothy 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 Timothy Sampson, MD 1989 Miamisburg Centerville Rd Ste 301, Centerville, OH 45459-3858 Ph: (937) 434-7353	Shane Timothy Sampson, MD 1989 Miamisburg Centerville Rd Ste 301, Centerville, OH 45459-3858 Ph: (937) 434-7353

Reviews and Comments

Family Medicine Doctors in Centerville, OH

Nicholas D Davis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2350 Miami Valley Dr, Suite 530, Centerville, OH 45459 Phone: 937-435-3546 Fax: 937-435-3568
Dr. Robert T Grossmann, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7073 Clyo Rd, Centerville, OH 45459 Phone: 937-435-5857 Fax: 937-912-4960
Tori Reagan Severs, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1023 S Main St Ste 200, Centerville, OH 45458 Phone: 937-436-3117 Fax: 937-436-0730
Dr. John F Mccarthy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 220 E Spring Valley Pike, Centerville, OH 45458 Phone: 937-436-3117 Fax: 937-436-0730
Dr. Richard L Greeno Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2200 Miami Valley Dr, Centerville, OH 45459 Phone: 937-436-4658
Anne C Reitz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2350 Miami Valley Dr, Ste 530, Centerville, OH 45459 Phone: 937-435-3546 Fax: 937-435-3568

Shane Timothy Sampson, MD - Medicare Family Medicine in Centerville, OH