Dr Samuel Michael Theagene, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Laurelton, New York. His current practice location is
22422 Merrick Blvd, Laurelton, New York. You can reach out to his office (for appointments etc.) via phone at
(347) 270-8353.
Dr Samuel Michael Theagene is licensed to practice in New York (license number 194218) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1518928167.
Physician's Profile
| Full Name | Dr Samuel Michael Theagene |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 22422 Merrick Blvd, Laurelton, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Samuel Michael Theagene attended and graduated from in
NPI Data:
- NPI Number: 1518928167
- Provider Enumeration Date: 03/31/2006
- Last Update Date: 03/04/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Samuel Michael Theagene such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518928167 | NPI | - | NPPES |
| G400043923 | Other | NY | PTAN |
| 135761803 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 194218 (New York) | Primary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 194218 (New York) | Secondary |
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 Michael Theagene 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 |
|---|
Dr Samuel Michael Theagene, MD
22422 Merrick Blvd,
Laurelton, NY 11413-2023
Ph: (347) 270-8353 | Dr Samuel Michael Theagene, MD
22422 Merrick Blvd,
Laurelton, NY 11413-2023
Ph: (347) 270-8353 |
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