Dr Etsub Samuel, MD in Fredericksburg, VA - Medicare Psychiatry & Neurology

Dr Etsub Samuel, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Fredericksburg, Virginia. Her current practice location is 220 Executive Center Pkwy, Fredericksburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (408) 992-9005.

Dr Etsub Samuel is licensed to practice in Virginia (license number 0101277387) 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 1730742800.

Contact Information

	Dr Etsub Samuel, MD
	220 Executive Center Pkwy, Fredericksburg, VA 22401-3107
	(408) 992-9005
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Etsub Samuel
Gender	Female
Speciality	Psychiatry & Neurology - Neurology
Location	220 Executive Center Pkwy, Fredericksburg, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730742800
Provider Enumeration Date: 04/15/2019
Last Update Date: 09/04/2024

Medicare PECOS Information:

PECOS PAC ID: 0547621393
Enrollment ID: I20241107001706

Medical Identifiers

Medical identifiers for Dr Etsub Samuel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730742800	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0400X	Psychiatry & Neurology - Neurology	0101277387 (Virginia)	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 Etsub Samuel allows following entities to bill medicare on her behalf.

Entity Name	Mary Washington Healthcare Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295999852 PECOS PAC ID: 2769546530 Enrollment ID: O20090123000298

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 Etsub 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 Etsub Samuel, MD 220 Executive Center Pkwy, Fredericksburg, VA 22401-3107 Ph: (408) 992-9005	Dr Etsub Samuel, MD 220 Executive Center Pkwy, Fredericksburg, VA 22401-3107 Ph: (408) 992-9005

Reviews and Comments

Psychiatry & Neurology Doctors in Fredericksburg, VA

Dr. Maha Alattar, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1101 Sam Perry Blvd, Suite 414, Fredericksburg, VA 22401 Phone: 540-899-1354 Fax: 540-899-1359
Dr. Richard Patrick Erwin, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 220 Executive Center Pkwy, Fredericksburg, VA 22401 Phone: 540-899-2900 Fax: 540-899-3395
Syed Ahmed, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 621 Jefferson Davis Hwy, Suite A, Fredericksburg, VA 22401 Phone: 540-899-7766
Eric W Stoltzfus, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 10432 Patriot Hwy, Fredericksburg, VA 22408 Phone: 540-707-7153
Dr. Dale Wilton Pcsolyar, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 220 Executive Center Pkwy, Fredericksburg, VA 22401 Phone: 540-899-2900 Fax: 540-899-3395
Kara E Ditto, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1320 Central Park Blvd Ste 200, Fredericksburg, VA 22401 Phone: 800-442-8938
Dr. Lawrence Borden Lee Jr., MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1965 Jefferson Davis Hwy, Suite 100, Fredericksburg, VA 22401 Phone: 540-370-4468 Fax: 540-370-4048

Dr Etsub Samuel, MD - Medicare Psychiatry & Neurology in Fredericksburg, VA