Samir Gamal Ishak, MD - Medicare Psychiatry in Portland, IN

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Samir Gamal Ishak, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Portland, Indiana. He graduated from medical school in 1983 and has 41 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Northeastern Center, Inc, Acute Behavioral Health Services Pc and 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.

Contact Information

Samir Gamal Ishak, MD
500 W Votaw St,
Portland, IN 47371-1322
(260) 418-7036
Not Available

Map and Direction




Physician's Profile

Full NameSamir Gamal Ishak
GenderMale
SpecialityPsychiatry
Experience41 Years
Location500 W Votaw St, Portland, Indiana
Accepts Medicare AssignmentsYes. 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 graduated from medical school in 1983
  NPI Data:
  • NPI Number: 1548257488
  • Provider Enumeration Date: 10/05/2005
  • Last Update Date: 02/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4880655331
  • Enrollment ID: I20041019001023

Medical Identifiers

Medical identifiers for Samir Gamal Ishak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548257488NPI-NPPES
200490520MedicaidIN
000000644855OtherINANTHEM
200490520AMedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 01050654A (Indiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northeastern Center, Inc670979563619
Acute Behavioral Health Services Pc892149068110

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. Samir Gamal Ishak allows following entities to bill medicare on his behalf.
Entity NameParkview Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932130952
PECOS PAC ID: 2163336967
Enrollment ID: O20031117000288
Entity NameSt Joseph Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811952070
PECOS PAC ID: 2264413491
Enrollment ID: O20040525001030
Entity NameNortheastern Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720140908
PECOS PAC ID: 6709795636
Enrollment ID: O20040605000289
Entity NamePark Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306897004
PECOS PAC ID: 5991794794
Enrollment ID: O20041213000226
Entity NameBrentwood Meadows Physician Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528479029
PECOS PAC ID: 9830412956
Enrollment ID: O20141222001827
Entity NameIllinois Post-acute Medical Services 1 Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952830853
PECOS PAC ID: 6305112103
Enrollment ID: O20180713002353
Entity NameAcute Behavioral Health Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700453388
PECOS PAC ID: 8921490681
Enrollment ID: O20220110001819

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 AddressPractice 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

Reviews and Comments


Psychiatry & Neurology Doctors in Portland, IN


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.