Mr Charles M Samp, PA-C - Medicare Physician Assistant in Mesa, AZ

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Mr Charles M Samp, PA-C is a medicare enrolled "Physician Assistant" in Mesa, Arizona. His current practice location is 6242 E Arbor Ave, Ste 111, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 610-8183.

Mr Charles M Samp is licensed to practice in Arizona (license number 1554) 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 1538126545.

Contact Information

Mr Charles M Samp, PA-C
6242 E Arbor Ave, Ste 111,
Mesa, AZ 85206-1309
(480) 610-8183
(480) 895-3110

Map and Direction




Provider's Profile

Full NameMr Charles M Samp
GenderMale
SpecialityPhysician Assistant
Location6242 E Arbor Ave, Mesa, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538126545
  • Provider Enumeration Date: 04/26/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2062458201
  • Enrollment ID: I20050629000297

Medical Identifiers

Medical identifiers for Mr Charles M Samp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538126545NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 1554 (Arizona)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. Mr Charles M Samp allows following entities to bill medicare on his behalf.
Entity NameTempe Emergency Physicians Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376934315
PECOS PAC ID: 2365337300
Enrollment ID: O20040218000500
Entity NameEmergency Physicians Southwest PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912053752
PECOS PAC ID: 2264538529
Enrollment ID: O20070502000382
Entity NameCep America- Arizona, PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780202804
PECOS PAC ID: 1850541970
Enrollment ID: O20121026000403
Entity NameEmergency Group of Arizona Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215275433
PECOS PAC ID: 1355596644
Enrollment ID: O20130313000442
Entity NameArizona Acute Medical Services 1 PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154860674
PECOS PAC ID: 6204113970
Enrollment ID: O20170505001284
Entity NameTec Emergency Physicians of Arizona, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245772870
PECOS PAC ID: 6204256084
Enrollment ID: O20201016000157
Entity NamePhoenix Physician Group PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154898435
PECOS PAC ID: 9830556463
Enrollment ID: O20240226001151

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. Mr Charles M Samp 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
Mr Charles M Samp, PA-C
6242 E Arbor Ave,
Mesa, AZ 85206-1309

Ph: (480) 610-8183		Mr Charles M Samp, PA-C
6242 E Arbor Ave, Ste 111,
Mesa, AZ 85206-1309

Ph: (480) 610-8183

Reviews and Comments


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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.