Samuel Robert Waldron, DPT in Baltimore, MD - Medicare Physical Therapist Provider

Samuel Robert Waldron, DPT is a medicare enrolled "Physical Therapist" provider in Baltimore, Maryland. His current practice location is 3100 Boston Street, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 995-9055.

Samuel Robert Waldron is licensed to practice in Maryland (license number 29384) 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 1205582269.

Contact Information

	Samuel Robert Waldron, DPT
	3100 Boston Street, Baltimore, MD 21224
	(410) 995-9055
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samuel Robert Waldron
Gender	Male
Speciality	Physical Therapist
Location	3100 Boston Street, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205582269
Provider Enumeration Date: 02/28/2022
Last Update Date: 08/03/2023

Medicare PECOS Information:

PECOS PAC ID: 3678969540
Enrollment ID: I20220331002194

Medical Identifiers

Medical identifiers for Samuel Robert Waldron such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205582269	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	40QA02074900 (New Jersey)	Secondary
225100000X	Physical Therapist	29384 (Maryland)	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 Robert Waldron allows following entities to bill medicare on his behalf.

Provider Name	Fox Rehabilitation Services Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1326092503 PECOS PAC ID: 0143133009 Enrollment ID: O20150303000554

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 Robert Waldron 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 Robert Waldron, DPT 1 Attenborough Dr Apt 304, Rosedale, MD 21237-5728 Ph: (201) 783-6687	Samuel Robert Waldron, DPT 3100 Boston Street, Baltimore, MD 21224 Ph: (410) 995-9055

Reviews and Comments

Physical Therapist in Baltimore, MD

Liberty Medical &injury Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7034 Liberty Rd, Baltimore, MD 21207 Phone: 410-580-9191
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Rhonda G Stallings, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 707 N Broadway, Kennedy Krieger Institute, Baltimore, MD 21205 Phone: 443-923-9200 Fax: 443-923-9405
Kimberly Ann Cardosa, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2200 Kernan Dr, Baltimore, MD 21207 Phone: 410-448-6323 Fax: 410-448-6338
Joanne Gamble, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5731 Cottonworth Ave, Baltimore, MD 21209 Phone: 410-708-4763
Evangeline Lajom Grecia, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 E North Ave, Baltimore, MD 21202 Phone: 443-642-4208
Steven G Peters, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1420 Clarkview Rd, Baltimore, MD 21209 Phone: 443-213-0395

Samuel Robert Waldron, DPT - Medicare Physical Therapist in Baltimore, MD