Mr Jitendra Samal, in Canton, MI - Medicare Physical Therapist Provider

Mr Jitendra Samal, is a medicare enrolled "Physical Therapist" provider in Canton, Michigan. His current practice location is 1343 Kensington Dr, Canton, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 278-5087.

Mr Jitendra Samal is licensed to practice in Michigan (license number 5501008554) 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 1598261547.

Contact Information

	Mr Jitendra Samal,
	1343 Kensington Dr, Canton, MI 48188-3247
	(313) 278-5087
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jitendra Samal
Gender	Male
Speciality	Physical Therapist
Location	1343 Kensington Dr, Canton, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598261547
Provider Enumeration Date: 03/30/2018
Last Update Date: 03/30/2018

Medicare PECOS Information:

PECOS PAC ID: 7517339872
Enrollment ID: I20230214002572

Medical Identifiers

Medical identifiers for Mr Jitendra Samal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598261547	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5501008554 (Michigan)	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 Jitendra Samal allows following entities to bill medicare on his behalf.

Provider Name	Pace Physical Therapy Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1982092268 PECOS PAC ID: 7517284169 Enrollment ID: O20150319002395

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 Jitendra Samal 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 Jitendra Samal, 1343 Kensington Dr, Canton, MI 48188-3247 Ph: (313) 278-5087	Mr Jitendra Samal, 1343 Kensington Dr, Canton, MI 48188-3247 Ph: (313) 278-5087

Reviews and Comments

Physical Therapist in Canton, MI

Shelley Marie Poliner, LPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5969 N Canton Center Rd, Canton, MI 48187 Phone: 877-407-3422 Fax: 877-407-4329
Joel Joven, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2050 N Haggerty Rd, Suite 280, Canton, MI 48187 Phone: 734-844-0800
Kothainayagi Anandhan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7025 N Lilley Rd, Canton, MI 48187 Phone: 734-394-3100
Anna Pia Hapin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7025 N Lilley Rd, Canton, MI 48187 Phone: 734-394-3100
Synergy Physical Therapy And Rehab, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 46743 Woodside Dr, Canton, MI 48187 Phone: 734-837-9673 Fax: 734-981-8062
Anbu Punniyakotti, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 49628 Great Falls Rd, Canton, MI 48188 Phone: 734-397-2830 Fax: 734-397-4918
Hardik Patel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2050 N Haggerty Rd Ste 280, Canton, MI 48187 Phone: 734-844-0800 Fax: 734-844-0808

Mr Jitendra Samal, - Medicare Physical Therapist in Canton, MI