Dr Patrick Bou-samra, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Baltimore, Maryland. His current practice location is
1800 Orleans St # Tower110, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 955-2050.
Dr Patrick Bou-samra 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 1093274094.
Physician's Profile
Full Name | Dr Patrick Bou-samra |
---|
Gender | Male |
---|
Speciality | Student In An Organized Health Care Education/training Program |
---|
Location | 1800 Orleans St # Tower110, Baltimore, Maryland |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1093274094
- Provider Enumeration Date: 03/19/2019
- Last Update Date: 07/10/2019
Medicare PECOS Information:
- PECOS PAC ID: 1557696986
- Enrollment ID: I20190708002270
Medical Identifiers
Medical identifiers for Dr Patrick Bou-samra such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093274094 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 0213 (Maryland) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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 Patrick Bou-samra 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 |
Dr Patrick Bou-samra, MD 225 N Calvert St, Baltimore, MD 21202-4937 Ph: () - | Dr Patrick Bou-samra, MD 1800 Orleans St # Tower110, Baltimore, MD 21287-0010 Ph: (410) 955-2050 |
Reviews and Comments