Delmon James I Samala, NP is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Emerson, New Jersey. He graduated from medical school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Fairlawn Behavioral Associates Llc and his current practice location is
466 Old Hook Rd, Emerson, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 342-4004.
Delmon James I Samala is licensed to practice in New Jersey (license number 26NJ15124000) 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 1326871286.
Physician's Profile
| Full Name | Delmon James I Samala |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 466 Old Hook Rd, Emerson, New Jersey |
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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:
- Delmon James I Samala graduated from medical school in 2024
NPI Data:
- NPI Number: 1326871286
- Provider Enumeration Date: 08/24/2024
- Last Update Date: 08/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 5890279004
- Enrollment ID: I20260325001447
Medical Identifiers
Medical identifiers for Delmon James I Samala such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1326871286 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 26NJ15124000 (New Jersey) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Fairlawn Behavioral Associates Llc | 9638485329 | 6 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Delmon James I Samala allows following entities to bill medicare on his behalf.
| Entity Name | Fairlawn Behavioral Associates LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861876419
PECOS PAC ID: 9638485329
Enrollment ID: O20150825005651 |
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| Entity Name | Samala Integrative Psych LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528918547
PECOS PAC ID: 6800370008
Enrollment ID: O20260325000591 |
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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. Delmon James I Samala 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 |
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Delmon James I Samala, NP
402 7th Ave Apt 3f,
Brooklyn, NY 11215-7331
Ph: (201) 449-9192 | Delmon James I Samala, NP
466 Old Hook Rd,
Emerson, NJ 07630-1396
Ph: (201) 342-4004 |
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