Raphael Fredric Samson, in Eatontown, NJ - Medicare Counselor Provider

Raphael Fredric Samson, is a medicare enrolled "Counselor - Mental Health" provider in Eatontown, New Jersey. His current practice location is 10 Industrial Way E, Eatontown, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 935-2220.

Raphael Fredric Samson is licensed to practice in * (Not Available) (license number ) 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 1215400973.

Contact Information

	Raphael Fredric Samson,
	10 Industrial Way E, Eatontown, NJ 07724-3332
	(732) 935-2220
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Raphael Fredric Samson
Gender	Male
Speciality	Counselor - Mental Health
Location	10 Industrial Way E, Eatontown, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215400973
Provider Enumeration Date: 01/05/2019
Last Update Date: 01/10/2023

Medicare PECOS Information:

PECOS PAC ID: 8921450669
Enrollment ID: I20240118002831

Medical Identifiers

Medical identifiers for Raphael Fredric Samson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215400973	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Raphael Fredric Samson allows following entities to bill medicare on his behalf.

Entity Name	Cpc Behavioral Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366497356 PECOS PAC ID: 3971593161 Enrollment ID: O20040518000822

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. Raphael Fredric Samson 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
Raphael Fredric Samson, 10 Industrial Way E, Eatontown, NJ 07724-3332 Ph: (732) 935-2220	Raphael Fredric Samson, 10 Industrial Way E, Eatontown, NJ 07724-3332 Ph: (732) 935-2220

Reviews and Comments

Counselor in Eatontown, NJ

Matthew Steven Behrens, CADC INTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Corbett Way, Eatontown, NJ 07724 Phone: 732-380-7061
Marissa Greco, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 99 Corbett Way Ste 304, Eatontown, NJ 07724 Phone: 732-977-3954
Michael Adam D'urso, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Main St, Eatontown, NJ 07724 Phone: 800-605-0612
Nancy Jones, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Hope Road, Bld 3b, Eatontown, NJ 07724 Phone: 732-724-1234
Heather Koenigsfest, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Hope Rd, Building 3a, Eatontown, NJ 07724 Phone: 732-380-1575 Fax: 732-380-1578
Ms. Colleen Kjems, LCADC, CCS, NCAC1, I Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Hope Rd Ste 5b5a&4a, Eatontown, NJ 07724 Phone: 732-858-5432
Emmi Mccauley, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 613 Hope Rd, Eatontown, NJ 07724 Phone: 908-902-9041

Raphael Fredric Samson, - Medicare Counselor in Eatontown, NJ