Gabrielle Fayth Samuels, DO is a medicare enrolled "Family Medicine" physician in Boonton, New Jersey. She graduated from medical school in 2016 and has 10 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Practice Associates Medical Group and her current practice location is
217 W Main St, Boonton, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 939-6215.
Gabrielle Fayth Samuels is licensed to practice in New Jersey (license number 25MB10492600) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558715623.
Physician's Profile
| Full Name | Gabrielle Fayth Samuels |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 10 Years |
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| Location | 217 W Main St, Boonton, New Jersey |
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| Accepts Medicare Assignments | Yes. She 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:
- Gabrielle Fayth Samuels graduated from medical school in 2016
NPI Data:
- NPI Number: 1558715623
- Provider Enumeration Date: 04/14/2016
- Last Update Date: 10/26/2020
Medicare PECOS Information:
- PECOS PAC ID: 3779812516
- Enrollment ID: I20190904001995
Medical Identifiers
Medical identifiers for Gabrielle Fayth Samuels such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1558715623 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 25MB10492600 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Practice Associates Medical Group | 5890703177 | 1299 |
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. Gabrielle Fayth Samuels allows following entities to bill medicare on her behalf.
| Entity Name | Practice Associates Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427016385
PECOS PAC ID: 5890703177
Enrollment ID: O20060330000690 |
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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. Gabrielle Fayth Samuels 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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Gabrielle Fayth Samuels, DO
Po Box 416457,
Boston, MA 02241-6457
Ph: (844) 362-1735 | Gabrielle Fayth Samuels, DO
217 W Main St,
Boonton, NJ 07005-1162
Ph: (973) 939-6215 |
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