Martin Sample, PA - Medicare Physician Assistant in Schenectady, NY

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Martin Sample, PA is a medicare enrolled "Physician Assistant" in Schenectady, New York. He went to Albany Medical College Of Union University and graduated in 2004 and has 22 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Ellis Hospital and his current practice location is 1101 Nott St, Schenectady, New York. You can reach out to his office (for appointments etc.) via phone at (518) 243-4000.

Martin Sample is licensed to practice in New York (license number 010377) 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 1013038975.

Contact Information

Martin Sample, PA
1101 Nott St,
Schenectady, NY 12308-2425
(518) 243-4000
Not Available

Map and Direction




Provider's Profile

Full NameMartin Sample
GenderMale
SpecialityPhysician Assistant
Experience22 Years
Location1101 Nott St, Schenectady, New York
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:
  • Martin Sample attended and graduated from Albany Medical College Of Union University in 2004
  NPI Data:
  • NPI Number: 1013038975
  • Provider Enumeration Date: 04/02/2007
  • Last Update Date: 07/22/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2466545660
  • Enrollment ID: I20070904000577

Medical Identifiers

Medical identifiers for Martin Sample such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013038975NPI-NPPES
03875261MedicaidNY
000413205001OtherBSNENY
070808000134OtherNYFIDELIS
110126992OtherCDPHP
3013540OtherMVP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 010377 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ellis HospitalSchenectady, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ellis Hospital5890607410250

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. Martin Sample allows following entities to bill medicare on his behalf.
Entity NameEllis Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487644993
PECOS PAC ID: 5890607410
Enrollment ID: O20031103000406

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. Martin Sample 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
Martin Sample, PA
600 Mcclellan St, 2 West,
Schenectady, NY 12304-1009

Ph: Not Available		Martin Sample, PA
1101 Nott St,
Schenectady, NY 12308-2425

Ph: (518) 243-4000

Reviews and Comments


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Ashley Marie Resetarits, PA-C
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Jennifer E Durocher, PA
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Practice Location: 1101 Nott St, Department Of Emergency, Schenectady, NY 12308
Phone: 518-243-4121    
Jacqueline M Sayres, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 1101 Nott St, Schenectady, NY 12308
Phone: 518-243-4000    
Jessica Crall, PA
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Medicare: Accepting Medicare Assignments
Practice Location: 1101 Nott St, Schenectady, NY 12308
Phone: 518-243-4135    Fax: 518-243-1367

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.