Jeffrey Samelson, PHD in Michigan City, IN - Medicare Clinical Psychologist Provider

Jeffrey Samelson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Michigan City, Indiana. He graduated from medical school in 1977 and has 47 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Sacks Clinical Consulting, Pc and his current practice location is 104 Woodland Ct Ste B, Michigan City, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 628-6463.

Jeffrey Samelson is licensed to practice in Indiana (license number 20010303A) 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 1801866223.

Contact Information

	Jeffrey Samelson, PHD
	104 Woodland Ct Ste B, Michigan City, IN 46360-7391
	(219) 628-6463
	(219) 628-6463

Map and Direction

Healthcare Provider's Profile

Full Name	Jeffrey Samelson
Gender	Male
Speciality	Clinical Psychologist
Experience	47 Years
Location	104 Woodland Ct Ste B, Michigan City, Indiana
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:

Jeffrey Samelson graduated from medical school in 1977

NPI Data:

NPI Number: 1801866223
Provider Enumeration Date: 01/26/2006
Last Update Date: 03/07/2024

Medicare PECOS Information:

PECOS PAC ID: 1759354251
Enrollment ID: I20040813000494

Medical Identifiers

Medical identifiers for Jeffrey Samelson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801866223	NPI	-	NPPES
100162900	Medicaid	IN
P00616032	Other		RR MEDICARE
000000347073	Other	IN	ANTHEM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	20010303A (Indiana)	Secondary
103TC0700X	Psychologist - Clinical	20010303A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sacks Clinical Consulting, Pc	9335320134	2

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. Jeffrey Samelson allows following entities to bill medicare on his behalf.

Entity Name	Sacks Clinical Consulting, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548567241 PECOS PAC ID: 9335320134 Enrollment ID: O20110228000426

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. Jeffrey Samelson 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
Jeffrey Samelson, PHD 1225 E Coolspring Ave, Michigan City, IN 46360-6312 Ph: (219) 873-2964	Jeffrey Samelson, PHD 104 Woodland Ct Ste B, Michigan City, IN 46360-7391 Ph: (219) 628-6463

Reviews and Comments

Psychologist in Michigan City, IN

Dr. Earle Clifton Titus, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 450 Saint John Rd, Michigan City, IN 46360 Phone: 219-879-4621 Fax: 219-873-2388
Dr. Janice Englander Katz, PH. D., H.S.P.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 831 Washington St, Michigan City, IN 46360 Phone: 219-406-0723 Fax: 219-879-8130
Sharon Sacks, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1411 S Woodland Ave, Ste B, Michigan City, IN 46360 Phone: 219-210-0111 Fax: 219-879-2887
Tamara Ann Miller, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2814 Franklin St, Michigan City, IN 46360 Phone: 219-872-1500
Dr. John Alexander Israel, PSY.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1401 S Woodland Ave Ste 3, Michigan City, IN 46360 Phone: 219-877-4954
Joseph F Gazarkiewicz, PSY.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1411 S. Woodland Avenue, Suite B, Michigan City, IN 46360 Phone: 219-763-1499 Fax: 219-764-7025
Kathryn F Zeckel, PSY.D. HSPP Psychologist Medicare: Medicare Enrolled Practice Location: 617 Franklin St Ste 7, Michigan City, IN 46360 Phone: 219-561-0168

Jeffrey Samelson, PHD - Medicare Psychologist in Michigan City, IN