Samuel Coleridge, - Family Medicine in Fort Worth, TX

Samuel Coleridge, is a Family Medicine physician based in Fort Worth, Texas. Samuel Coleridge is licensed to practice in Texas (license number J2546) and his current practice location is 2106 N Main St, Fort Worth, Texas. He can be reached at his office (for appointments etc.) via phone at (817) 625-4254.

NPI number for Samuel Coleridge is 1013986058 and his current mailing address is 3500 Camp Bowie Blvd, Fort Worth, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013986058.

Contact Information

Samuel Coleridge,
2106 N Main St,
Fort Worth, TX 76106-8511
(817) 625-4254
(817) 740-1318

Map and Direction




Physician's Profile

Full NameSamuel Coleridge
GenderMale
SpecialityFamily Medicine
Location2106 N Main St, Fort Worth, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013986058
  • Provider Enumeration Date: 03/14/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Samuel Coleridge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013986058NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine J2546 (Texas)Primary

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. Samuel Coleridge is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Samuel Coleridge,
3500 Camp Bowie Blvd,
Fort Worth, TX 76107-2644

Ph: (817) 735-0170
Samuel Coleridge,
2106 N Main St,
Fort Worth, TX 76106-8511

Ph: (817) 625-4254

Reviews and Comments


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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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