Samuel Robert Brittingham
Individual provider Active NPI Physician Assistant · Salisbury, MD
NPI 1770069353 · NPPES record last updated Aug 2, 2018
Key facts
- NPI
- 1770069353
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- C0006868 (MD)
- Practice address
- 100 E. Carroll St
3Rd Floor, West Tower
Salisbury, MD 21801 - Phone
- (410) 546-1353
- NPI assigned
- Jul 17, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tidalhealth Specialty Care LLC
Practice addresses (Care Compare)
100 E Carroll St
Salisbury, MD 21801-5422
Hospital & facility affiliations
- Tidalhealth Peninsula Regional, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.92 of 100
- Quality
- 74.47
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 75.27
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180820002419 | MD | Practitioner - Physician Assistant | 1153670435 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luminis Health Medical Group, LLC | Current |
Accepting new patients | |
| Tidalhealth Peninsula Regional, Inc. | Physician Assistant | Current |
Accepting new patients |
| Tidalhealth Peninsula Regional, Inc. | Current |
Accepting new patients | |
| Luminis Health Medical Group, LLC | Current |
Accepting new patients | |
| Tidalhealth Specialty Care, LLC | Past | Accepting new patients |
Locations
2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366
100 E Carroll St
Fl 3
Salisbury, MD 21801
Phone (301) 546-1353
106 Milford St
Ste 201
Salisbury, MD 21804
Phone (410) 543-1616
100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100
145 E Carroll St
Salisbury, MD 21801
Phone (410) 546-6400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0006868 | MD | Yes |
Addresses
Primary practice location
100 E. Carroll St
3Rd Floor, West Tower
Salisbury, MD 21801
Mailing address
100 E Carroll St
Salisbury, MD 21801-5422
Phone (800) 749-5191
Other providers in Salisbury, MD
- Hannah Allerdice Bricker
- Derrick Antonio Briddell
- Brinton Woods of Salisbury, LLC
- Sarah Anne Brissey
- Sarah Elizabeth Britt
- Felicia A Brockman
- Robert W Broddus Jr.
- Crystal Dise Bromley
- Glenwood C Brooks Jr.
- Kashira Brooks
All providers in Salisbury, MD · Physician Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.