Dr Samuel Jeannite, PSYD is a
Psychologist based in Queens, New York. Dr Samuel Jeannite is licensed to practice in New York (license number 022015-1) and his current practice location is
118-35 Queens Blvd., Suite 400, Queens, New York. He can be reached at his office (for appointments etc.) via phone at
(347) 460-6048.
NPI number for Dr Samuel Jeannite is 1184141053 and his current mailing address is 17832 145th Rd, Jamaica, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184141053.
Healthcare Provider's Profile
| Full Name | Dr Samuel Jeannite |
|---|
| Gender | Male |
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| Speciality | Psychologist |
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| Location | 118-35 Queens Blvd., Queens, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1184141053
- Provider Enumeration Date: 08/23/2017
- Last Update Date: 08/23/2017
Medical Identifiers
Medical identifiers for Dr Samuel Jeannite such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184141053 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 022015-1 (New York) | Primary |
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. Dr Samuel Jeannite is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Samuel Jeannite, PSYD
17832 145th Rd,
Jamaica, NY 11434-5033
Ph: () - | Dr Samuel Jeannite, PSYD
118-35 Queens Blvd., Suite 400,
Queens, NY 11375
Ph: (347) 460-6048 |
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