Dr Amanuel Samad Himmed, MD is a medicare enrolled "General Practice" physician in Mansfield, Ohio. His current practice location is
680 Park Ave W, Mansfield, Ohio. You can reach out to his office (for appointments etc.) via phone at
(855) 446-7348.
Dr Amanuel Samad Himmed is licensed to practice in Florida (license number ME153168) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1396955134.
Physician's Profile
Full Name | Dr Amanuel Samad Himmed |
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Gender | Male |
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Speciality | General Practice |
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Location | 680 Park Ave W, Mansfield, Ohio |
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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: 1396955134
- Provider Enumeration Date: 05/23/2007
- Last Update Date: 06/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 6406002062
- Enrollment ID: I20230208003032
Medical Identifiers
Medical identifiers for Dr Amanuel Samad Himmed such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396955134 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RA0401X | Internal Medicine - Addiction Medicine | ME153168 (Florida) | Secondary |
208D00000X | General Practice | ME153168 (Florida) | Primary |
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. Dr Amanuel Samad Himmed allows following entities to bill medicare on his behalf.
Entity Name | Summerfield Medical Clinic Md Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1568780492 PECOS PAC ID: 8325231194 Enrollment ID: O20101025001171 |
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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. Dr Amanuel Samad Himmed 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 Amanuel Samad Himmed, MD 680 Park Ave W, Mansfield, OH 44906-3706 Ph: (855) 446-7348 | Dr Amanuel Samad Himmed, MD 680 Park Ave W, Mansfield, OH 44906-3706 Ph: (855) 446-7348 |
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