Shane Timothy Sampson, MD in Centerville, OH

Shane Timothy Sampson, MD is a medicare enrolled "Family Medicine" physician in Centerville, Ohio. He went to Indiana University School Of Medicine and graduated in 1989 and has 35 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Ormond Medical Arts and 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 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 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 Practice
Experience	35 Years
Location	1989 Miamisburg Centerville Rd Ste 301, Centerville, Ohio
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:

Shane Timothy Sampson attended and graduated from Indiana University School Of Medicine in 1989

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

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Amedisys Home Health	Port orange, FL	Home health agency
Adventhealth Daytona Beach	Daytona beach, FL	Hospital
Adventhealth Orlando	Orlando, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ormond Medical Arts	1254222565	27

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	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: Medicare Enrolled 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
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: Accepting Medicare Assignments Practice Location: 2200 Miami Valley Dr, Centerville, OH 45459 Phone: 937-436-4658
Dr. Walter W Keyes, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 950 E Alex Bell Rd, Centerville, OH 45459 Phone: 937-291-2300 Fax: 937-291-2303
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 Practice in Centerville, OH