Mr Samuel Keating Harrell, in Poughkeepsie, NY

Mr Samuel Keating Harrell, is a medicare enrolled "Nurse Practitioner - Family" in Poughkeepsie, New York. He graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Optum Medical Care Pc and his current practice location is 30 Columbia St, Poughkeepsie, New York. You can reach out to his office (for appointments etc.) via phone at (845) 231-5600.

Mr Samuel Keating Harrell is licensed to practice in New York (license number 354434) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1346881000.

Contact Information

	Mr Samuel Keating Harrell,
	30 Columbia St, Poughkeepsie, NY 12601-3906
	(845) 231-5600
	(845) 592-7708

Map and Direction

Provider's Profile

Full Name	Mr Samuel Keating Harrell
Gender	Male
Speciality	Nurse Practitioner
Experience	7 Years
Location	30 Columbia St, Poughkeepsie, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Samuel Keating Harrell graduated from nursing school in 2019

NPI Data:

NPI Number: 1346881000
Provider Enumeration Date: 10/03/2019
Last Update Date: 07/09/2026

Medicare PECOS Information:

PECOS PAC ID: 5991134637
Enrollment ID: I20240822000616

Medical Identifiers

Medical identifiers for Mr Samuel Keating Harrell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346881000	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WG0000X	Registered Nurse - General Practice	RN2319853 (Massachusetts)	Secondary
363LF0000X	Nurse Practitioner - Family	354434 (New York)	Primary
363LF0000X	Nurse Practitioner - Family	RN2319853 (Massachusetts)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Optum Medical Care Pc	9931013240	1031

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. Mr Samuel Keating Harrell allows following entities to bill medicare on his behalf.

Entity Name	Optum Medical Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321

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. Mr Samuel Keating Harrell 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
Mr Samuel Keating Harrell, 30 Columbia St, Poughkeepsie, NY 12601-3906 Ph: (845) 231-5600	Mr Samuel Keating Harrell, 30 Columbia St, Poughkeepsie, NY 12601-3906 Ph: (845) 231-5600

Reviews and Comments

Nurse Practitioner Nurses in Poughkeepsie, NY

Miss Laura Robinson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15 Fulton Ave, Poughkeepsie, NY 12603 Phone: 845-473-8996 Fax: 845-797-5054
Christine Wilson, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 45 Reade Pl, Poughkeepsie, NY 12601 Phone: 845-454-8500
Olivia Maamle Obuabang, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 Knightsbridge Unit E, Poughkeepsie, NY 12603 Phone: 646-245-9527
Dorothy A Gioia, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 696 Dutchess Tpke Ste 11, Poughkeepsie, NY 12603 Phone: 845-454-8200 Fax: 845-343-3295
Ms. Lisa Gruenhut Gold, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Bushwick Rd Ste B, Poughkeepsie, NY 12603 Phone: 845-654-0506 Fax: 845-842-1361
Matthew John Pernice, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 696 Dutchess Tpke, Poughkeepsie, NY 12603 Phone: 845-204-9260
Margaret Speedling, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 488 Freedom Plains Rd, Poughkeepsie, NY 12603 Phone: 845-452-5151

Mr Samuel Keating Harrell, - Medicare Nurse Practitioner in Poughkeepsie, NY