Samuel Valley, OD, PHARMD is a medicare enrolled "Optometrist" provider in Bangor, Maine. His current practice location is
766 Stillwater Ave, Bangor, Maine. You can reach out to his office (for appointments etc.) via phone at
(207) 945-5891.
Samuel Valley is licensed to practice in Maine (license number OPT1060) 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 1235640871.
Healthcare Provider's Profile
Full Name | Samuel Valley |
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Gender | Male |
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Speciality | Optometrist |
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Location | 766 Stillwater Ave, Bangor, Maine |
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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: 1235640871
- Provider Enumeration Date: 10/23/2017
- Last Update Date: 12/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 8224402961
- Enrollment ID: I20230321001873
Medical Identifiers
Medical identifiers for Samuel Valley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235640871 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | PR46880 (Maine) | Secondary |
152W00000X | Optometrist | OPT1060 (Maine) | Primary |
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. Samuel Valley allows following entities to bill medicare on his behalf.
Entity Name | Gaetani Eye Care Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356483846 PECOS PAC ID: 8820145329 Enrollment ID: O20090421000449 |
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Entity Name | Sjv Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689366734 PECOS PAC ID: 9032564372 Enrollment ID: O20231006000946 |
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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. Samuel Valley 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 |
Samuel Valley, OD, PHARMD 1012 Union St, Bangor, ME 04401-3060 Ph: (207) 992-4100 | Samuel Valley, OD, PHARMD 766 Stillwater Ave, Bangor, ME 04401-3616 Ph: (207) 945-5891 |
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