Dr Bradley William Samuel, PHD - Medicare Psychologist in Albuquerque, NM

Dr Bradley William Samuel, PHD is a medicare enrolled "Psychologist - Clinical" provider in Albuquerque, New Mexico. His current practice location is 2400 Tucker Ne, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 272-1734.

Dr Bradley William Samuel is licensed to practice in New Mexico (license number 738) 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 1255363586.

Contact Information

Dr Bradley William Samuel, PHD
2400 Tucker Ne,
Albuquerque, NM 87131-0001
(505) 272-1734
(505) 272-6308



Healthcare Provider's Profile

Full NameDr Bradley William Samuel
GenderMale
SpecialityPsychologist - Clinical
Location2400 Tucker Ne, Albuquerque, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255363586
  • Provider Enumeration Date: 07/07/2006
  • Last Update Date: 05/22/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 3173555844
  • Enrollment ID: I20070108000224

Medical Identifiers

Medical identifiers for Dr Bradley William Samuel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255363586NPI-NPPES
09702784MedicaidCO
NM01JB06OtherNMBLUE SHIELD
955627MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 738 (New Mexico)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 Bradley William Samuel allows following entities to bill medicare on his behalf.
Entity NameUnm Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831218627
PECOS PAC ID: 4981795267
Enrollment ID: O20070801000589

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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 Bradley William 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 AddressPractice Location Address
Dr Bradley William Samuel, PHD
933 Bradbury Dr Se, Suite 2222,
Albuquerque, NM 87106-4374

Ph: (505) 272-3120
Dr Bradley William Samuel, PHD
2400 Tucker Ne,
Albuquerque, NM 87131-0001

Ph: (505) 272-1734

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Psychologist in Albuquerque, NM

Dr. Cynthia A. Ziemer, PSY.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 301 Unser Blvd Nw, Albuquerque, NM 87121
Phone: 505-925-4126    
Dr. Michael Carvajal, PSY.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 915 Vassar Dr Ne Ste 170, Albuquerque, NM 87106
Phone: 505-272-8833    Fax: 505-272-8316
Dr. William Gary Mcfarland, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 4801 Indian School Rd Ne Ste 200, Albuquerque, NM 87110
Phone: 505-875-7357    Fax: 505-286-7442
Dr. Joseph Alfred Bousquet, MSW, PHD
Psychologist
Medicare: Medicare Enrolled
Practice Location: One San Rafael, The Cognitive Behavorial Institute Of Albuquerque, Albuquerque, NM 87122
Phone: 505-832-1600    Fax: 505-832-1161
Dr. Helen Lamar Jackson, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 6000 Summer Ave Ne, Albuquerque, NM 87110
Phone: 505-266-4226    Fax: 505-265-3844
Dr. Gary J Neuger, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 4801 Lang Ave Ne Ste 110, Albuquerque, NM 87109
Phone: 505-798-2552    
Dr. Bryan Lance Hurt, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 3405 Pan American Fwy Ne, Albuquerque, NM 87107
Phone: 505-222-0324    Fax: 505-222-0301

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