Mr Corey Jeffrey Samuelson, DPT in Bismarck, ND - Medicare Physical Therapist Provider

Mr Corey Jeffrey Samuelson, DPT is a medicare enrolled "Physical Therapist" provider in Bismarck, North Dakota. His current practice location is 1033 Basin Ave, Bismarck, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 223-6613.

Mr Corey Jeffrey Samuelson is licensed to practice in North Dakota (license number 1474) 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 1649454307.

Contact Information

	Mr Corey Jeffrey Samuelson, DPT
	1033 Basin Ave, Bismarck, ND 58504-6649
	(701) 223-6613
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Corey Jeffrey Samuelson
Gender	Male
Speciality	Physical Therapist
Location	1033 Basin Ave, Bismarck, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649454307
Provider Enumeration Date: 12/18/2007
Last Update Date: 12/20/2007

Medicare PECOS Information:

PECOS PAC ID: 3678655677
Enrollment ID: I20080130000162

Medical Identifiers

Medical identifiers for Mr Corey Jeffrey Samuelson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649454307	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1474 (North Dakota)	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. Mr Corey Jeffrey Samuelson allows following entities to bill medicare on his behalf.

Provider Name	Mckenzie County Healthcare Systems Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1063420495 PECOS PAC ID: 5890768006 Enrollment ID: O20040817000016

Provider Name	Mckenzie County Healthcare Systems Inc
Provider Type	Part A Provider - Critical Access Hospital
Provider Identifiers	NPI Number: 1518988948 PECOS PAC ID: 5890768006 Enrollment ID: O20061104000557

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. Mr Corey Jeffrey Samuelson 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
Mr Corey Jeffrey Samuelson, DPT 300 N 31st St Apt 40, Bismarck, ND 58501-5101 Ph: (701) 570-3480	Mr Corey Jeffrey Samuelson, DPT 1033 Basin Ave, Bismarck, ND 58504-6649 Ph: (701) 223-6613

Reviews and Comments

Physical Therapist in Bismarck, ND

Ashley Russell, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 207 W Front Ave, Bismarck, ND 58504 Phone: 701-751-0994
Jonathan Jay Fischer, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2945 N 11th St, Bismarck, ND 58503 Phone: 701-258-7730 Fax: 701-258-7803
Mrs. Kari Lynn Harris, DPT, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 N 7th St, Bismarck, ND 58501 Phone: 701-323-6837 Fax: 701-323-6907
Andrew Johnson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1000 Tacoma Ave Ste 500, Bismarck, ND 58504 Phone: 701-751-3001
Jennifer Voigt, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000
Anna Wolf, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4580 Coleman St, Bismarck, ND 58503 Phone: 701-751-5118
Alexis Witt, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 401 N 9th St, Bismarck, ND 58501 Phone: 701-712-4500 Fax: 701-712-4011

Mr Corey Jeffrey Samuelson, DPT - Medicare Physical Therapist in Bismarck, ND