Kelvin Keith Sampson, PA - Medicare Physician Assistant in Rowland, NC

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Kelvin Keith Sampson, PA is a medicare enrolled "Physician Assistant" in Rowland, North Carolina. He graduated from nursing school in 1986 and has 40 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Unc Physicians Network Llc and his current practice location is 102 N Bond St, Rowland, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 422-3350.

Kelvin Keith Sampson is licensed to practice in North Carolina (license number 100942) 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 1336171230.

Contact Information

Kelvin Keith Sampson, PA
102 N Bond St,
Rowland, NC 28383-9741
(910) 422-3350
(910) 422-3926

Map and Direction




Provider's Profile

Full NameKelvin Keith Sampson
GenderMale
SpecialityPhysician Assistant
Experience40 Years
Location102 N Bond St, Rowland, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelvin Keith Sampson graduated from nursing school in 1986
  NPI Data:
  • NPI Number: 1336171230
  • Provider Enumeration Date: 07/07/2006
  • Last Update Date: 03/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3476601063
  • Enrollment ID: I20090508000573

Medical Identifiers

Medical identifiers for Kelvin Keith Sampson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336171230NPI-NPPES
8101406MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 100942 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Southeastern Regional Medical CenterLumberton, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Unc Physicians Network Llc5496940546985

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. Kelvin Keith Sampson allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Regional Physician Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427282045
PECOS PAC ID: 7012058548
Enrollment ID: O20100106000556
Entity NameLumberton Family & Urgent Care Center PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467784488
PECOS PAC ID: 9739215963
Enrollment ID: O20100326000952
Entity NameUNC Physicians Network LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750704367
PECOS PAC ID: 5496940546
Enrollment ID: O20101115000646

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. Kelvin Keith 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 AddressPractice Location Address
Kelvin Keith Sampson, PA
5221 Paramount Pkwy Ste 220,
Morrisville, NC 27560-5490

Ph: Not Available		Kelvin Keith Sampson, PA
102 N Bond St,
Rowland, NC 28383-9741

Ph: (910) 422-3350

Reviews and Comments


Physician Assistant Nurses in Rowland, NC

Mrs. Barbara H Graham, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 204 W Main Street, Rowland, NC 28383
Phone: 910-720-1101    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.