Valsamma Samuel, MD is a medicare enrolled "Pediatrics" physician in Port Chester, New York. Her current practice location is
5 Grace Church St, Open Door Family Medical Centers, Inc., Port Chester, New York. You can reach out to her office (for appointments etc.) via phone at
(914) 937-8899.
Valsamma Samuel is licensed to practice in New York (license number 136752-1) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124180278.
Physician's Profile
Full Name | Valsamma Samuel |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 5 Grace Church St, Port Chester, New York |
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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: 1124180278
- Provider Enumeration Date: 12/15/2006
- Last Update Date: 12/07/2011
Medicare PECOS Information:
- PECOS PAC ID: 7113192717
- Enrollment ID: I20111209000333
Medical Identifiers
Medical identifiers for Valsamma Samuel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124180278 | NPI | - | NPPES |
00442411 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 136752-1 (New York) | 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. Valsamma 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 |
Valsamma Samuel, MD 165 Main St, Open Door Family Medical Centers, Inc., Ossining, NY 10562-4702 Ph: (914) 941-1263 | Valsamma Samuel, MD 5 Grace Church St, Open Door Family Medical Centers, Inc., Port Chester, NY 10573-4911 Ph: (914) 937-8899 |
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