Tykeia Samuel, in Brockton, MA - Medicare Nurse Practitioner

Tykeia Samuel, is a medicare enrolled "Nurse Practitioner - Family" in Brockton, Massachusetts. She graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Gather Health Primary Care Of Massachusetts Pc and her current practice location is 179 Quincy St Ste 2, Brockton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 237-6838.

Tykeia Samuel is licensed to practice in Massachusetts (license number RN2294839) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1497209043.

Contact Information

	Tykeia Samuel,
	179 Quincy St Ste 2, Brockton, MA 02302-2966
	(617) 237-6838
	Not Available

Map and Direction

Provider's Profile

Full Name	Tykeia Samuel
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	179 Quincy St Ste 2, Brockton, Massachusetts
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tykeia Samuel graduated from nursing school in 2016

NPI Data:

NPI Number: 1497209043
Provider Enumeration Date: 08/12/2016
Last Update Date: 05/12/2025

Medicare PECOS Information:

PECOS PAC ID: 7315220589
Enrollment ID: I20170214000471

Medical Identifiers

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

Identifier	Type	State	Issuer
1497209043	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN2294839 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
South Shore Hospital	South weymouth, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gather Health Primary Care Of Massachusetts Pc	3577932920	11

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. Tykeia Samuel allows following entities to bill medicare on her behalf.

Entity Name	Brockton Neighborhood Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225085319 PECOS PAC ID: 3870491699 Enrollment ID: O20031230000558

Entity Name	Gather Health Primary Care Of Massachusetts Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255051850 PECOS PAC ID: 3577932920 Enrollment ID: O20221207002146

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. Tykeia Samuel 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
Tykeia Samuel, 179 Quincy St Ste 2, Brockton, MA 02302-2966 Ph: (508) 283-3154	Tykeia Samuel, 179 Quincy St Ste 2, Brockton, MA 02302-2966 Ph: (617) 237-6838

Reviews and Comments

Nurse Practitioner Nurses in Brockton, MA

Christine Nichole Lattuada, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Pearl St, Suite 2000, Brockton, MA 02301 Phone: 508-894-8577 Fax: 508-894-8578
Rebecca Match, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 Meadowbrook Rd, Brockton, MA 02301 Phone: 508-638-6006
Jessica Santiccioli, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699
Mrs. Henrietta Amaka Ewuzie, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14 Heritage Ct, Brockton, MA 02302 Phone: 857-233-1890
Mrs. Rena B Levy, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-894-0400 Fax: 508-894-0412
Lauren Kaplan, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1324 Belmont St Ste 105, Brockton, MA 02301 Phone: 617-571-6732
Susanne Adams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 158 Pleasant St, Brockton, MA 02301 Phone: 508-894-3363

Tykeia Samuel, - Medicare Nurse Practitioner in Brockton, MA