Dr Samuel Udell, DPM is a medicare enrolled "Podiatrist" provider in Pennsauken, New Jersey. His current practice location is
5635 Westfield Ave, Pennsauken, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(856) 662-8999.
Dr Samuel Udell is licensed to practice in New Jersey (license number 25MD00157100) 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 1841244837.
Healthcare Provider's Profile
| Full Name | Dr Samuel Udell |
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| Gender | Male |
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| Speciality | Podiatrist |
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| Location | 5635 Westfield Ave, Pennsauken, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1841244837
- Provider Enumeration Date: 05/22/2006
- Last Update Date: 01/23/2012
Medicare PECOS Information:
- PECOS PAC ID: 0143341149
- Enrollment ID: I20110128000904
Medical Identifiers
Medical identifiers for Dr Samuel Udell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841244837 | NPI | - | NPPES |
| 2343801 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | 25MD00157100 (New Jersey) | 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. Dr Samuel Udell allows following entities to bill medicare on his behalf.
| Provider Name | Healthdrive Podiatry Group Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1013106533
PECOS PAC ID: 3375446958
Enrollment ID: O20050810000144 |
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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. Dr Samuel Udell 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 |
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Dr Samuel Udell, DPM
5635 Westfield Ave,
Pennsauken, NJ 08110-1853
Ph: (856) 662-8999 | Dr Samuel Udell, DPM
5635 Westfield Ave,
Pennsauken, NJ 08110-1853
Ph: (856) 662-8999 |
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