Dr Prudencio Gabriel Samson, MD - Medicare Psychiatry & Neurology in Roseville, CA

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Dr Prudencio Gabriel Samson, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Roseville, California. His current practice location is 720 Sunrise Ave Ste 202c, Roseville, California. You can reach out to his office (for appointments etc.) via phone at (530) 341-2521.

Dr Prudencio Gabriel Samson is licensed to practice in California (license number C53191) 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 1013045863.

Contact Information

Dr Prudencio Gabriel Samson, MD
720 Sunrise Ave Ste 202c,
Roseville, CA 95661-4509
(530) 341-2521
Not Available

Map and Direction




Physician's Profile

Full NameDr Prudencio Gabriel Samson
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location720 Sunrise Ave Ste 202c, Roseville, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013045863
  • Provider Enumeration Date: 03/02/2007
  • Last Update Date: 01/23/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1254435100
  • Enrollment ID: I20081112000803

Medical Identifiers

Medical identifiers for Dr Prudencio Gabriel Samson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013045863NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 034209 (Connecticut)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry C53191 (California)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 Prudencio Gabriel Samson allows following entities to bill medicare on his behalf.
Entity NameHisham Soliman Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700199080
PECOS PAC ID: 9436282191
Enrollment ID: O20100802000172
Entity NameCounty Of Sacramento
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043386659
PECOS PAC ID: 0345231247
Enrollment ID: O20110801000770
Entity NameCounty Of Colusa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902929052
PECOS PAC ID: 3173656402
Enrollment ID: O20120405000564

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 Prudencio Gabriel Samson 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 AddressPractice Location Address
Dr Prudencio Gabriel Samson, MD
720 Sunrise Ave Ste 202c,
Roseville, CA 95661-4509

Ph: (860) 881-0878		Dr Prudencio Gabriel Samson, MD
720 Sunrise Ave Ste 202c,
Roseville, CA 95661-4509

Ph: (530) 341-2521

Reviews and Comments


Psychiatry & Neurology Doctors in Roseville, CA

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Dr. Nicole A Lopez-seminario, M.D.
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Amanpreet Kaur Mashiana, M.D.
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Dr. Sabeena Acharya,
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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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