Samir Gamal Ishak, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Portland, Indiana. His current practice location is
500 W Votaw St, Portland, Indiana. You can reach out to his office (for appointments etc.) via phone at
(260) 418-7036.
Samir Gamal Ishak is licensed to practice in Indiana (license number 01050654A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1548257488.
Physician's Profile
Full Name | Samir Gamal Ishak |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 500 W Votaw St, Portland, Indiana |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Samir Gamal Ishak attended and graduated from in
NPI Data:
- NPI Number: 1548257488
- Provider Enumeration Date: 10/05/2005
- Last Update Date: 02/03/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Samir Gamal Ishak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548257488 | NPI | - | NPPES |
200490520 | Medicaid | IN | |
000000644855 | Other | IN | ANTHEM |
200490520A | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 01050654A (Indiana) | 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. Samir Gamal Ishak 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 |
Samir Gamal Ishak, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Samir Gamal Ishak, MD 500 W Votaw St, Portland, IN 47371-1322 Ph: (260) 418-7036 |
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