Dr Bishoy T Samuel, MD is a medicare enrolled "Psychiatry & Neurology - Addiction Medicine" physician in Center City, Minnesota. His current practice location is
15251 Pleasant Valley Rd, Center City, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(877) 793-5205.
Dr Bishoy T Samuel is licensed to practice in Minnesota (license number 76576) 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 1659506624.
Physician's Profile
| Full Name | Dr Bishoy T Samuel |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Addiction Medicine |
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| Location | 15251 Pleasant Valley Rd, Center City, Minnesota |
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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: 1659506624
- Provider Enumeration Date: 05/20/2009
- Last Update Date: 06/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880902915
- Enrollment ID: I20190627002843
Medical Identifiers
Medical identifiers for Dr Bishoy T Samuel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1659506624 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083A0300X | Preventive Medicine - Addiction Medicine | 0101274943 (Virginia) | Secondary |
| 208D00000X | General Practice | 34453 (Alabama) | Secondary |
| 208D00000X | General Practice | A148818 (California) | Secondary |
| 208D00000X | General Practice | T-3860 (Mississippi) | Secondary |
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | 76576 (Minnesota) | 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. Dr Bishoy T Samuel allows following entities to bill medicare on his behalf.
| Entity Name | Mayflower Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932146370
PECOS PAC ID: 6901804350
Enrollment ID: O20061120000235 |
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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. Dr Bishoy T Samuel 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 |
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Dr Bishoy T Samuel, MD
15251 Pleasant Valley Rd,
Center City, MN 55012-9640
Ph: (877) 793-5205 | Dr Bishoy T Samuel, MD
15251 Pleasant Valley Rd,
Center City, MN 55012-9640
Ph: (877) 793-5205 |
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