Samer C Faysal, FNP is a medicare enrolled "Nurse Practitioner - Family" provider in Shenandoah, Texas. His current practice location is
117 Vision Park Blvd, Shenandoah, Texas. You can reach out to his office (for appointments etc.) via phone at
(936) 443-8460.
Samer C Faysal is licensed to practice in Texas (license number 798026) 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 1841220852.
Healthcare Provider's Profile
| Full Name | Samer C Faysal |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 117 Vision Park Blvd, Shenandoah, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1841220852
- Provider Enumeration Date: 07/04/2006
- Last Update Date: 04/07/2017
Medicare PECOS Information:
- PECOS PAC ID: 8224016217
- Enrollment ID: I20140509001667
Medical Identifiers
Medical identifiers for Samer C Faysal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841220852 | NPI | - | NPPES |
| 647992 | Other | TX | UHC |
| 7788404 | Other | TX | AETNA |
| 606347 | Other | TX | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | TX8953 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 798026 (Texas) | 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. Samer C Faysal allows following entities to bill medicare on his behalf.
| Provider Name | Travis W. Hird, M.d. Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1376723833
PECOS PAC ID: 4587695747
Enrollment ID: O20050826000740 |
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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. Samer C Faysal 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 |
|---|
Samer C Faysal, FNP
33615 Windcrest Estates Blvd,
Magnolia, TX 77354-4726
Ph: (936) 756-1651 | Samer C Faysal, FNP
117 Vision Park Blvd,
Shenandoah, TX 77384
Ph: (936) 443-8460 |
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