Samuel De Chavez Samson, NP in Newark, CA - Medicare Nurse Practitioner

Samuel De Chavez Samson, NP is a medicare enrolled "Nurse Practitioner - Family" in Newark, California. His current practice location is 5763 Stevenson Blvd, Newark, California. You can reach out to his office (for appointments etc.) via phone at (510) 656-5700.

Samuel De Chavez Samson is licensed to practice in California (license number 95023358) 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 1689387045.

Contact Information

	Samuel De Chavez Samson, NP
	5763 Stevenson Blvd, Newark, CA 94560-5301
	(510) 656-5700
	Not Available

Map and Direction

Provider's Profile

Full Name	Samuel De Chavez Samson
Gender	Male
Speciality	Nurse Practitioner - Family
Location	5763 Stevenson Blvd, Newark, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689387045
Provider Enumeration Date: 01/02/2023
Last Update Date: 01/02/2023

Medicare PECOS Information:

PECOS PAC ID: 5890140362
Enrollment ID: I20231018003634

Medical Identifiers

Medical identifiers for Samuel De Chavez Samson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689387045	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95023358 (California)	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 De Chavez Samson allows following entities to bill medicare on his behalf.

Entity Name	Parhelion Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457025256 PECOS PAC ID: 5193199461 Enrollment ID: O20230328002319

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 De Chavez Samson 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 De Chavez Samson, NP 4115 Clarinbridge Cir, Dublin, CA 94568-7210 Ph: (650) 452-3438	Samuel De Chavez Samson, NP 5763 Stevenson Blvd, Newark, CA 94560-5301 Ph: (510) 656-5700

Reviews and Comments

Nurse Practitioner Nurses in Newark, CA

Mayurkumar Patel, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5763 Stevenson Blvd, Newark, CA 94560 Phone: 510-656-5700
Dr. Yasmine Fathima Perdue, DNP, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5763 Stevenson Blvd, Newark, CA 94560 Phone: 510-656-5700 Fax: 510-656-5704
Angela B Reyes, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 35778 Orleans Dr, Newark, CA 94560 Phone: 510-754-0336
Anthony Deaton, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6456 Escallonia Dr, Newark, CA 94560 Phone: 510-828-2500
Melchor Beltran, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5617 Byington Dr, Newark, CA 94560 Phone: 510-790-9455
Peter Kusnierczyk, FNP MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6066 Civic Terrace Ave, Newark, CA 94560 Phone: 510-494-7235 Fax: 510-494-7210
Meghana Bachu, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6236 Thornton Ave, Newark, CA 94560 Phone: 510-248-1680 Fax: 510-797-0236

Samuel De Chavez Samson, NP - Medicare Nurse Practitioner in Newark, CA