Dr Grace Kollannoor Samuel, MBBS, MS, PHD in Woodbury, MN

Dr Grace Kollannoor Samuel, MBBS, MS, PHD is a medicare enrolled "Internal Medicine" physician in Woodbury, Minnesota. Her current practice location is 8450 Seasons Pkwy, Woodbury, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 702-5300.

Dr Grace Kollannoor Samuel is licensed to practice in Minnesota (license number 78971) 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 1659014827.

Contact Information

	Dr Grace Kollannoor Samuel, MBBS, MS, PHD
	8450 Seasons Pkwy, Woodbury, MN 55125-4402
	(651) 702-5300
	(651) 702-5305

Map and Direction

Physician's Profile

Full Name	Dr Grace Kollannoor Samuel
Gender	Female
Speciality	Internal Medicine
Location	8450 Seasons Pkwy, Woodbury, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659014827
Provider Enumeration Date: 04/15/2022
Last Update Date: 09/17/2025

Medicare PECOS Information:

PECOS PAC ID: 0840679197
Enrollment ID: I20250422002082

Medical Identifiers

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

Identifier	Type	State	Issuer
1659014827	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	78971 (Minnesota)	Primary
208D00000X	General Practice	8472620 (Wisconsin)	Secondary
207R00000X	Internal Medicine	8472620 (Wisconsin)	Secondary

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 Grace Kollannoor Samuel allows following entities to bill medicare on her behalf.

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200116002549

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 Grace Kollannoor 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 Grace Kollannoor Samuel, MBBS, MS, PHD 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () -	Dr Grace Kollannoor Samuel, MBBS, MS, PHD 8450 Seasons Pkwy, Woodbury, MN 55125-4402 Ph: (651) 702-5300

Reviews and Comments

Internal Medicine Doctors in Woodbury, MN

Dale J Meyer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8450 Seasons Pkwy, Mail Stop 32900a, Woodbury, MN 55125 Phone: 651-702-5300 Fax: 651-702-5305
Marisa Ann Spencer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 237 Radio Dr Ste 210, Woodbury, MN 55125 Phone: 612-871-1145 Fax: 612-870-5491
Rachel Elizabeth Kneeland, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 4040 Radio Dr, Woodbury, MN 55129 Phone: 651-439-8807 Fax: 651-439-0232
Lisa C Ramsay, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 8675 Valley Creek Rd, Woodbury, MN 55125 Phone: 651-501-3028 Fax: 651-501-3049
Dr. Ann Wendling, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6603 Crackleberry Trl, Woodbury, MN 55129 Phone: 651-459-3982
Peter B Arnesen, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1925 Woodwinds Dr, Woodbury, MN 55125 Phone: 651-232-0100
Sou-pan Wu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4040 Radio Dr, Woodbury, MN 55129 Phone: 651-439-8807 Fax: 651-439-0232

Dr Grace Kollannoor Samuel, MBBS, MS, PHD - Medicare Internal Medicine in Woodbury, MN