Dr Bishoy T Samuel, MD is a medicare enrolled "Psychiatry & Neurology - Addiction Medicine" physician in Center City, Minnesota. He went to University Of South Florida College Of Medicine and graduated in 2009 and has 17 years of diverse experience with area of expertise as Preventive Medicine. He is a member of the group practice Providence Medical Foundation and his current practice location is
15251 Pleasant Valley Rd, Center City, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(877) 793-5205.
Dr Bishoy T Samuel is licensed to practice in Minnesota (license number 76576) 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 1659506624.
Physician's Profile
| Full Name | Dr Bishoy T Samuel |
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| Gender | Male |
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| Speciality | Preventive Medicine |
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| Experience | 17 Years |
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| Location | 15251 Pleasant Valley Rd, Center City, Minnesota |
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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 Bishoy T Samuel attended and graduated from University Of South Florida College Of Medicine in 2009
NPI Data:
- NPI Number: 1659506624
- Provider Enumeration Date: 05/20/2009
- Last Update Date: 06/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880902915
- Enrollment ID: I20260423002556
Medical Identifiers
Medical identifiers for Dr Bishoy T Samuel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659506624 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083A0300X | Preventive Medicine - Addiction Medicine | 0101274943 (Virginia) | Secondary |
| 208D00000X | General Practice | 34453 (Alabama) | Secondary |
| 208D00000X | General Practice | A148818 (California) | Secondary |
| 208D00000X | General Practice | T-3860 (Mississippi) | Secondary |
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | 76576 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Providence Medical Foundation | 8921993205 | 1468 |
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 Bishoy T Samuel 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 Bishoy T Samuel, MD
15251 Pleasant Valley Rd,
Center City, MN 55012-9640
Ph: (877) 793-5205 | Dr Bishoy T Samuel, MD
15251 Pleasant Valley Rd,
Center City, MN 55012-9640
Ph: (877) 793-5205 |
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