Dr Bradley William Samuel, PHD | |
2400 Tucker Ne, Albuquerque, NM 87131-0001 | |
(505) 272-1734 | |
(505) 272-6308 |
Full Name | Dr Bradley William Samuel |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 2400 Tucker Ne, Albuquerque, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255363586 | NPI | - | NPPES |
09702784 | Medicaid | CO | |
NM01JB06 | Other | NM | BLUE SHIELD |
955627 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 738 (New Mexico) | Primary |
Entity Name | Unm Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831218627 PECOS PAC ID: 4981795267 Enrollment ID: O20070801000589 |
Mailing Address | Practice Location Address |
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Dr Bradley William Samuel, PHD 933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374 Ph: (505) 272-3120 | Dr Bradley William Samuel, PHD 2400 Tucker Ne, Albuquerque, NM 87131-0001 Ph: (505) 272-1734 |
Dr. Cynthia A. Ziemer, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 301 Unser Blvd Nw, Albuquerque, NM 87121 Phone: 505-925-4126 | |
Dr. Michael Carvajal, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 915 Vassar Dr Ne Ste 170, Albuquerque, NM 87106 Phone: 505-272-8833 Fax: 505-272-8316 | |
Dr. William Gary Mcfarland, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4801 Indian School Rd Ne Ste 200, Albuquerque, NM 87110 Phone: 505-875-7357 Fax: 505-286-7442 | |
Dr. Joseph Alfred Bousquet, MSW, PHD Psychologist Medicare: Medicare Enrolled Practice Location: One San Rafael, The Cognitive Behavorial Institute Of Albuquerque, Albuquerque, NM 87122 Phone: 505-832-1600 Fax: 505-832-1161 | |
Dr. Helen Lamar Jackson, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6000 Summer Ave Ne, Albuquerque, NM 87110 Phone: 505-266-4226 Fax: 505-265-3844 | |
Dr. Gary J Neuger, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4801 Lang Ave Ne Ste 110, Albuquerque, NM 87109 Phone: 505-798-2552 | |
Dr. Bryan Lance Hurt, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3405 Pan American Fwy Ne, Albuquerque, NM 87107 Phone: 505-222-0324 Fax: 505-222-0301 |