Mr Samuel Perenich, is a medicare enrolled "Dermatology" physician in Hudson, Florida. His current practice location is
7547 Jacque Rd, Hudson, Florida. You can reach out to his office (for appointments etc.) via phone at
(727) 862-8561.
Mr Samuel Perenich is licensed to practice in Florida (license number PA9119155) 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 1467270009.
Physician's Profile
Full Name | Mr Samuel Perenich |
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Gender | Male |
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Speciality | Dermatology |
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Location | 7547 Jacque Rd, Hudson, Florida |
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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: 1467270009
- Provider Enumeration Date: 10/02/2024
- Last Update Date: 10/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 3678009248
- Enrollment ID: I20241205002354
Medical Identifiers
Medical identifiers for Mr Samuel Perenich such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467270009 | NPI | - | NPPES |
PA9119155 | Other | FL | STATE LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | PA9119155 (Florida) | 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. Mr Samuel Perenich 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 |
Mr Samuel Perenich, 2705 W Beach St, Tampa, FL 33607-2953 Ph: (563) 676-1188 | Mr Samuel Perenich, 7547 Jacque Rd, Hudson, FL 34667-7163 Ph: (727) 862-8561 |
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