Samuel Maryles, MD in New London, CT - Medicare Emergency Medicine

Samuel Maryles, MD is a medicare enrolled "Emergency Medicine" physician in New London, Connecticut. His current practice location is 365 Montauk Ave, New London, Connecticut. You can reach out to his office (for appointments etc.) via phone at (330) 493-4443.

Samuel Maryles is licensed to practice in Connecticut (license number 04242) 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 1013064591.

Contact Information

	Samuel Maryles, MD
	365 Montauk Ave, New London, CT 06320-4700
	(330) 493-4443
	(330) 493-8677

Map and Direction

Physician's Profile

Full Name	Samuel Maryles
Gender	Male
Speciality	Emergency Medicine
Location	365 Montauk Ave, New London, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013064591
Provider Enumeration Date: 01/05/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4486644069
Enrollment ID: I20040514001234

Medical Identifiers

Medical identifiers for Samuel Maryles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013064591	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	04242 (Connecticut)	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. Samuel Maryles allows following entities to bill medicare on his behalf.

Entity Name	New York University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026

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 Maryles 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
Samuel Maryles, MD 4535 Dressler Rd Nw, Canton, OH 44718-2545 Ph: (330) 493-4443	Samuel Maryles, MD 365 Montauk Ave, New London, CT 06320-4700 Ph: (330) 493-4443

Reviews and Comments

Emergency Medicine Doctors in New London, CT

Michael James Drechsler, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711
Dr. Anthony Noto, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711
Russell Firman, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 330-493-4443 Fax: 330-493-8677
Siri L Daulaire, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711
Jayson Podber, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 330-493-4443 Fax: 330-493-8677
Sophia Gee O'donnell, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, Emergency Medicine Department, New London, CT 06320 Phone: 860-444-3733

Samuel Maryles, MD - Medicare Emergency Medicine in New London, CT