Mr Samuel Mark Migdole, EDD - Psychologist in Beverly, MA

Mr Samuel Mark Migdole, EDD is a Psychologist based in Beverly, Massachusetts. Mr Samuel Mark Migdole is licensed to practice in Massachusetts (license number 76) and his current practice location is 23 Broadway, Beverly, Massachusetts. He can be reached at his office (for appointments etc.) via phone at (978) 922-2280.

NPI number for Mr Samuel Mark Migdole is 1407932338 and his current mailing address is 23 Broadway, Beverly, Massachusetts. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407932338.

Contact Information

Mr Samuel Mark Migdole, EDD
23 Broadway,
Beverly, MA 01915-4417
(978) 922-2280
(978) 927-1758



Healthcare Provider's Profile

Full NameMr Samuel Mark Migdole
GenderMale
SpecialityPsychologist
Location23 Broadway, Beverly, Massachusetts
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1407932338
  • Provider Enumeration Date: 10/31/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Samuel Mark Migdole such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407932338NPI-NPPES
97964101OtherMANETWORK HEALTH
901877OtherMATUFTS
WO1232OtherMABLUE CROSS
1302892MedicaidMA
096083OtherMAMHN
1010630OtherMABEACON

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 76 (Massachusetts)Primary

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. Mr Samuel Mark Migdole is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Samuel Mark Migdole, EDD
23 Broadway,
Beverly, MA 01915-4417

Ph: (978) 922-2280
Mr Samuel Mark Migdole, EDD
23 Broadway,
Beverly, MA 01915-4417

Ph: (978) 922-2280

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