Randall B Sam, ANP in Dunkirk, NY - Medicare Nurse Practitioner

Randall B Sam, ANP is a medicare enrolled "Nurse Practitioner - Adult Health" in Dunkirk, New York. His current practice location is 520 Central Ave # Vd, Dunkirk, New York. You can reach out to his office (for appointments etc.) via phone at (716) 710-8266.

Randall B Sam is licensed to practice in New York (license number F303144) 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 1487683769.

Contact Information

	Randall B Sam, ANP
	520 Central Ave # Vd, Dunkirk, NY 14048-2515
	(716) 710-8266
	Not Available

Map and Direction

Provider's Profile

Full Name	Randall B Sam
Gender	Male
Speciality	Nurse Practitioner - Adult Health
Location	520 Central Ave # Vd, Dunkirk, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487683769
Provider Enumeration Date: 06/30/2006
Last Update Date: 04/17/2023

Medicare PECOS Information:

PECOS PAC ID: 5890889448
Enrollment ID: I20070913000575

Medical Identifiers

Medical identifiers for Randall B Sam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487683769	NPI	-	NPPES
223765	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	F303144 (New York)	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. Randall B Sam allows following entities to bill medicare on his behalf.

Entity Name	General Physician Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093959322 PECOS PAC ID: 9537213079 Enrollment ID: O20090818000154

Entity Name	Great Lakes Physician Practice Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730599176 PECOS PAC ID: 6709007701 Enrollment ID: O20141016000108

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. Randall B Sam 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
Randall B Sam, ANP 520 Central Ave # Vd, Dunkirk, NY 14048-2515 Ph: (716) 710-8266	Randall B Sam, ANP 520 Central Ave # Vd, Dunkirk, NY 14048-2515 Ph: (716) 710-8266

Reviews and Comments

Nurse Practitioner Nurses in Dunkirk, NY

Deborah Bush, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 504 Central Ave, Dunkirk, NY 14048 Phone: 716-366-9008 Fax: 716-366-3158
Nina Serene Currie, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 75 E 3rd St, Dunkirk, NY 14048 Phone: 716-363-6050 Fax: 833-974-1992
Mr. James R Urgo, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 310 Central Ave Ste B, Dunkirk, NY 14048 Phone: 716-363-6050
Mrs. Kristina Marie Christopher, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 744 Central Ave, Dunkirk, NY 14048 Phone: 716-413-4012 Fax: 888-355-7425
Amanda Lynn Olander, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3898 Vineyard Dr Ste 1, Dunkirk, NY 14048 Phone: 716-363-6960 Fax: 716-203-7386
Allan Aldrich Jamora Ocampo, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 E 3rd St, Dunkirk, NY 14048 Phone: 716-363-6050 Fax: 833-974-1992
Kierstyn Gordon, NURSE PRACTITIONER Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 529 Central Ave, Dunkirk, NY 14048 Phone: 716-664-2589 Fax: 716-366-1111

Randall B Sam, ANP - Medicare Nurse Practitioner in Dunkirk, NY