Samuel Shin, MD, PHD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in North Olmsted, Ohio. His current practice location is
24700 Lorain Rd, North Olmsted, Ohio. You can reach out to his office (for appointments etc.) via phone at
(216) 444-2200.
Samuel Shin is licensed to practice in Ohio (license number 35.150427) 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 1609510866.
Physician's Profile
| Full Name | Samuel Shin |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 24700 Lorain Rd, North Olmsted, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1609510866
- Provider Enumeration Date: 04/25/2022
- Last Update Date: 05/13/2026
Medicare PECOS Information:
- PECOS PAC ID: 7517345903
- Enrollment ID: I20220525001025
Medical Identifiers
Medical identifiers for Samuel Shin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1609510866 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35.150427 (Ohio) | 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 Shin 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 Shin, MD, PHD 24700 Lorain Rd, North Olmsted, OH 44070-2088 Ph: () - | Samuel Shin, MD, PHD 24700 Lorain Rd, North Olmsted, OH 44070-2088 Ph: (216) 444-2200 |
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