Samuel A Wolde, is a medicare enrolled "Psychologist - Clinical" provider in Houston, Texas. She graduated from healthcare school in 2017 and has 7 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Step Up Care Pc Llc, Supportive Care I Of Rhode Island Pc and her current practice location is
4635 Southwest Fwy Ste 635, Houston, Texas. You can reach out to her office (for appointments etc.) via phone at
(713) 850-0049.
Samuel A Wolde is licensed to practice in Texas (license number 39274) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275173536.
Healthcare Provider's Profile
| Full Name | Samuel A Wolde |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 7 Years |
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| Location | 4635 Southwest Fwy Ste 635, Houston, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Samuel A Wolde graduated from medical school in 2017
NPI Data:
- NPI Number: 1275173536
- Provider Enumeration Date: 01/14/2020
- Last Update Date: 09/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 9739503426
- Enrollment ID: I20200728003004
Medical Identifiers
Medical identifiers for Samuel A Wolde such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275173536 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 18390 (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 39274 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Step Up Care Pc Llc | 5496088346 | 111 |
| Supportive Care I Of Rhode Island Pc | 1951793546 | 37 |
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. Samuel A Wolde allows following entities to bill medicare on her behalf.
| Entity Name | Step Up Care Pc Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154884740
PECOS PAC ID: 5496088346
Enrollment ID: O20190607000156 |
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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. Samuel A Wolde 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 |
|---|
Samuel A Wolde,
10428 W Colter St,
Glendale, AZ 85307-4195
Ph: (720) 226-7900 | Samuel A Wolde,
4635 Southwest Fwy Ste 635,
Houston, TX 77027-7112
Ph: (713) 850-0049 |
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