Mr Samuel O S Irvine Jr, PA-C in Birmingham, AL

Mr Samuel O S Irvine Jr, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Birmingham, Alabama. His current practice location is 2871 Acton Road, Suite 100, Birmingham, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 939-0023.

Mr Samuel O S Irvine Jr is licensed to practice in Alabama (license number PA-189) 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 1376590059.

Contact Information

	Mr Samuel O S Irvine Jr, PA-C
	2871 Acton Road, Suite 100, Birmingham, AL 35243-2560
	(205) 939-0023
	(205) 939-4180

Map and Direction

Provider's Profile

Full Name	Mr Samuel O S Irvine Jr
Gender	Male
Speciality	Physician Assistant - Surgical
Location	2871 Acton Road, Birmingham, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376590059
Provider Enumeration Date: 05/28/2006
Last Update Date: 05/27/2011

Medicare PECOS Information:

PECOS PAC ID: 0143261842
Enrollment ID: I20050512000489

Medical Identifiers

Medical identifiers for Mr Samuel O S Irvine Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376590059	NPI	-	NPPES
009934027	Medicaid	AL
009989995	Medicaid	AL
051001143	Other	AL	BLUE CROSS - 860 MONT RD
051001308	Other	AL	BLUE CROSS - 2660 10TH AV
009989985	Medicaid	AL
051001307	Other	AL	BLUE CROSS - 48 MED PARK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AS0400X	Physician Assistant - Surgical	PA-189 (Alabama)	Primary

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 Samuel O S Irvine Jr 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
Mr Samuel O S Irvine Jr, PA-C 2871 Acton Road, Suite 100, Birmingham, AL 35243-2560 Ph: (205) 939-0023	Mr Samuel O S Irvine Jr, PA-C 2871 Acton Road, Suite 100, Birmingham, AL 35243-2560 Ph: (205) 939-0023

Reviews and Comments

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Mr Samuel O S Irvine Jr, PA-C - Medicare Physician Assistant in Birmingham, AL