Samuel Michal Anderson, MD in Phoenix, AZ - Medicare General Practice

Samuel Michal Anderson, MD is a medicare enrolled "General Practice" physician in Phoenix, Arizona. His current practice location is Po Box 31581, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 228-7206.

Samuel Michal Anderson is licensed to practice in Arizona (license number 54241) 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 1659767887.

Contact Information

	Samuel Michal Anderson, MD
	Po Box 31581, Phoenix, AZ 85046-1581
	(602) 228-7206
	Not Available

Map and Direction

Physician's Profile

Full Name	Samuel Michal Anderson
Gender	Male
Speciality	General Practice
Location	Po Box 31581, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659767887
Provider Enumeration Date: 04/14/2015
Last Update Date: 02/12/2018

Medicare PECOS Information:

PECOS PAC ID: 3870806425
Enrollment ID: I20230829004249

Medical Identifiers

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

Identifier	Type	State	Issuer
1659767887	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	54241 (Arizona)	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 Michal Anderson allows following entities to bill medicare on his behalf.

Entity Name	Signify Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210305000869

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 Michal Anderson 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 Michal Anderson, MD 5300 Antequera Rd Nw Apt 1906, Albuquerque, NM 87120-4588 Ph: (602) 228-7206	Samuel Michal Anderson, MD Po Box 31581, Phoenix, AZ 85046-1581 Ph: (602) 228-7206

Reviews and Comments

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Samuel Michal Anderson, MD - Medicare General Practice in Phoenix, AZ