DR. SAMUEL EDWIN SCHRACK (D.O.) – Family Medicine Physician, NPI 1114926920
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,103 FAMILY PRACTICE in PA
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Provider Addresses for DR. SAMUEL EDWIN SCHRACK (D.O.)
7 DOCK HILL RD
MIDDLEBURG, PA 178428910
Phone: (570) 837-2123
Fax: (570) 837-2185
Type: Mailing
217, King Street, Laporte, Sullivan County, Pennsylvania, 18626, United States
LAPORTE, PA 186260095
Phone: (570) 946-5101
Fax: (570) 946-4341
Type: Location
701 Northway Rd
Williamsport, PA 177013813
Phone: (570) 327-9110
Fax: (570) 327-1181
Type: Location
246 S Main St
Hughesville, PA 177371614
Phone: (570) 584-5144
Fax: (570) 584-5416
Type: Location
40 W WELLSBORO ST
MANSFIELD, PA 169331411
Phone: (570) 662-1945
Fax: (000) 000-0000
Type: Mailing
412 ALLEN ST
MONTOURSVILLE, PA 177541510
Phone: (570) 519-1322
Fax: (000) 000-0000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-10-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051025000386 | I | Family Practice | PA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 17842)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| Family Practice | PA | |
| Nurse Practitioner | SC | |
| Clinical Social Worker | PA | |
| Clinical Social Worker | PA | |
| Sports Medicine, Family Practice | PA | |
| Clinical Social Worker | PA | |
| Nurse Practitioner | PA | |
| Physician Assistant | PA | |
| P S Y C H I A T R Y | PA |
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