Alynna Mariz Samala Perez, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Bangor, Maine. Her current practice location is
895 Union St Ste 12, Bangor, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 973-7979.
Alynna Mariz Samala Perez is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417636390.
Physician's Profile
| Full Name | Alynna Mariz Samala Perez |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 895 Union St Ste 12, Bangor, Maine |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417636390
- Provider Enumeration Date: 07/17/2023
- Last Update Date: 06/24/2026
Medicare PECOS Information:
- PECOS PAC ID: 9537522685
- Enrollment ID: I20230823000935
Medical Identifiers
Medical identifiers for Alynna Mariz Samala Perez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1417636390 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 38128 (New Hampshire) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Alynna Mariz Samala Perez 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 |
Alynna Mariz Samala Perez, MD 250 Pleasant St, Concord, NH 03301-2598 Ph: (603) 227-7000 | Alynna Mariz Samala Perez, MD 895 Union St Ste 12, Bangor, ME 04401-3054 Ph: (207) 973-7979 |
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