Samuel Cedres-perez, is a medicare enrolled "Psychologist - Clinical" provider in Springfield, Massachusetts. His current practice location is
417 Liberty St, Springfield, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(413) 747-0705.
Samuel Cedres-perez is licensed to practice in Massachusetts (license number 11730) 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 1548931967.
Healthcare Provider's Profile
Full Name | Samuel Cedres-perez |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 417 Liberty St, Springfield, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1548931967
- Provider Enumeration Date: 09/24/2021
- Last Update Date: 05/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 0749667293
- Enrollment ID: I20220523000550
Medical Identifiers
Medical identifiers for Samuel Cedres-perez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548931967 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | 11730 (Massachusetts) | 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. Samuel Cedres-perez allows following entities to bill medicare on his behalf.
Entity Name | Behavioral Health Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477582609 PECOS PAC ID: 3072596360 Enrollment ID: O20040608001373 |
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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 Cedres-perez 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 Cedres-perez, 417 Liberty St, Springfield, MA 01104-3736 Ph: (413) 747-0705 | Samuel Cedres-perez, 417 Liberty St, Springfield, MA 01104-3736 Ph: (413) 747-0705 |
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