Physician Compare National (NPI:1881837581)

HEALTHCARE PROVIDER: SAMER BLEIBEL MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1881837581
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5395884506
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101025001068
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BLEIBEL
	Individual professional last name
Provider First Name	SAMER
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2001
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	910 WALLACE AVE
	Group Practice or individual's line 1 address
City	LEITCHFIELD
	Group Practice or individual's city
State	KY
	Group Practice or individual's state
Zip Code	427542414
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2702599400
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	180070
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TWIN LAKES REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	230077
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST MARY'S OF MICHIGAN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	180088
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	NORTON HOSPITALS, INC
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y