Jaina Sabu Samuel, - Nurse Practitioner in Detroit, MI

Jaina Sabu Samuel, is a Nurse Practitioner - Acute Care based in Detroit, Michigan. Jaina Sabu Samuel is licensed to practice in Michigan (license number 4704247931) and her current practice location is 22101 Moross Rd, Detroit, Michigan. She can be reached at her office (for appointments etc.) via phone at (313) 343-4000.

NPI number for Jaina Sabu Samuel is 1003379314 and her current mailing address is 49409 W Central Park, Shelby Twp, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003379314.

Contact Information

Jaina Sabu Samuel,
22101 Moross Rd,
Detroit, MI 48236-2148
(313) 343-4000
Not Available

Map and Direction




Provider's Profile

Full NameJaina Sabu Samuel
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location22101 Moross Rd, Detroit, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003379314
  • Provider Enumeration Date: 04/12/2019
  • Last Update Date: 04/03/2024

Medical Identifiers

Medical identifiers for Jaina Sabu Samuel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003379314NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WM0705XRegistered Nurse - Medical-surgical 4704247931 (Michigan)Secondary
363LA2100XNurse Practitioner - Acute Care 4704247931 (Michigan)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. Jaina Sabu Samuel 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 AddressPractice Location Address
Jaina Sabu Samuel,
49409 W Central Park,
Shelby Twp, MI 48317-6355

Ph: (734) 620-7933
Jaina Sabu Samuel,
22101 Moross Rd,
Detroit, MI 48236-2148

Ph: (313) 343-4000

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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