Mohammad Samiullah, MD in Tyler, TX - Medicare Internal Medicine

Mohammad Samiullah, MD is a medicare enrolled "Internal Medicine" physician in Tyler, Texas. His current practice location is 1000 S Beckham Ave, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 590-5611.

Mohammad Samiullah is licensed to practice in Texas (license number T4675) 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 1578025607.

Contact Information

	Mohammad Samiullah, MD
	1000 S Beckham Ave, Tyler, TX 75701-1908
	(903) 590-5611
	(903) 535-6884

Map and Direction

Physician's Profile

Full Name	Mohammad Samiullah
Gender	Male
Speciality	Internal Medicine
Location	1000 S Beckham Ave, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578025607
Provider Enumeration Date: 04/06/2019
Last Update Date: 07/05/2022

Medicare PECOS Information:

PECOS PAC ID: 6608257134
Enrollment ID: I20220715000033

Medical Identifiers

Medical identifiers for Mohammad Samiullah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578025607	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	T4675 (Texas)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207R00000X	Internal Medicine	T4675 (Texas)	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. Mohammad Samiullah allows following entities to bill medicare on his behalf.

Entity Name	University Of Texas Health Science Center At Tyler-facility-physician
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063400778 PECOS PAC ID: 4981699220 Enrollment ID: O20040416001048

Entity Name	Etmc Physician Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106

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. Mohammad Samiullah 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
Mohammad Samiullah, MD 1000 S Beckham Ave, Tyler, TX 75701-1908 Ph: (903) 590-5611	Mohammad Samiullah, MD 1000 S Beckham Ave, Tyler, TX 75701-1908 Ph: (903) 590-5611

Reviews and Comments

Internal Medicine Doctors in Tyler, TX

Ifeatu Uchenna Oti, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1133 Medical Dr, Tyler, TX 75701 Phone: 903-595-5486 Fax: 903-595-5128
Preetham Reddy Muskula, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2608 Mcdonald Rd, Tyler, TX 75701 Phone: 903-595-5514 Fax: 903-262-3715
Dr. Varalaxmi Bhavani Nannaka, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 912 S Fleishel Ave, Tyler, TX 75701 Phone: 903-592-6901
David A Brickey, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-525-1914
Randy Craig Randall, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1783 Troup Highway, Tyler, TX 75701 Phone: 903-595-2283 Fax: 903-595-1063
Nabeel K Ahmed, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1133 Medical Dr, Tyler, TX 75701 Phone: 903-595-5486 Fax: 903-595-5128
Dr. Amanda Nicole Long, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 619 S Fleishel Ave, Ste 327, Tyler, TX 75701 Phone: 903-510-1173

Mohammad Samiullah, MD - Medicare Internal Medicine in Tyler, TX