Basiru Samba, is a
Case Manager/care Coordinator based in Bowie, Maryland. Basiru Samba is licensed to practice in * (Not Available) (license number ) and his current practice location is
4802 Willes Vision Dr, Bowie, Maryland. He can be reached at his office (for appointments etc.) via phone at
(301) 284-0636.
NPI number for Basiru Samba is 1548636269 and his current mailing address is 4802 Willes Vision Dr, Bowie, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548636269.
Provider's Profile
| Full Name | Basiru Samba |
|---|
| Gender | Male |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 4802 Willes Vision Dr, Bowie, Maryland |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1548636269
- Provider Enumeration Date: 08/17/2015
- Last Update Date: 08/17/2015
Medical Identifiers
Medical identifiers for Basiru Samba such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548636269 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | R159377 (Maryland) | Secondary |
| 163WA2000X | Registered Nurse - Administrator | R155931 (Maryland) | Secondary |
| 164W00000X | Licensed Practical Nurse | LP34564 (Maryland) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
| 174400000X | Specialist | (* (Not Available)) | Secondary |
| 246Y00000X | Specialist/technologist, Health Information | (* (Not Available)) | Secondary |
| 247200000X | Technician, Other | (* (Not Available)) | Secondary |
| 372500000X | Chore Provider | (* (Not Available)) | Secondary |
| 372600000X | Adult Companion | (* (Not Available)) | Secondary |
| 3747A0650X | Technician - Attendant Care Provider | (* (Not Available)) | Secondary |
| 374U00000X | Home Health Aide | (* (Not Available)) | Secondary |
| 376G00000X | Nursing Home Administrator | (* (Not Available)) | Secondary |
| 376J00000X | Homemaker | (* (Not Available)) | Secondary |
| 376K00000X | Nurse's Aide | (* (Not Available)) | Secondary |
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. Basiru Samba is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Basiru Samba,
4802 Willes Vision Dr,
Bowie, MD 20720-4671
Ph: (301) 284-0636 | Basiru Samba,
4802 Willes Vision Dr,
Bowie, MD 20720-4671
Ph: (301) 284-0636 |
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