Look up the most recent NPI and PECOS records

Aaron Lee Samsula

Internal Medicine

Allopathic & Osteopathic Physicians

4708 Dexter Dr Ste 400, Plano, TX 75093-5288

PECOS Enrollment

This provider is enrolled in PECOS as AARON SAMSULA.

Based on the most recent information from CMS, provider Aaron Lee Samsula is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1508971011
Provider Type
Individual
Full Name
Samsula, Aaron Lee
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
8/21/2006
Last Updated
7/20/2021

Contact Information

Practice Location

4708 Dexter Dr Ste 400, Plano, TX 75093-5288

(972) 993-5050

(972) 993-5051

Mailing Location

4708 Dexter Dr Ste 400, Plano, TX 75093-5288

(972) 993-5050

(972) 993-5051

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License L8937 Texas

Provider Identifiers

ID	Description	Issuer
ID 1744955-01	Description Medicaid	Issuer Unlisted Texas
ID P00251532	Description Other	Issuer RR MEDICARE Texas

Aaron Lee Samsula

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

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