Samer Ashour, APRN | NPI 1801367495

Key facts

NPI: 1801367495
Entity type: Individual (NPI type 1)
Primary specialty: Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License: 8108 (CT)
Practice address: 1007 N Main St
Dayville, CT 06241
Phone: (860) 774-2020
NPI assigned: Dec 8, 2018
Sex: Male
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

United Services Inc Mental Health Clinic/Center (Including Community Mental Health Center) · Dayville, CT · NPI 1063413011

Medicare reassignment Care Compare group NPD CT

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Day Kimball Healthcare, Inc. General Acute Care Hospital · Putnam, CT · NPI 1205056371

Care Compare affiliation Hospital
Day Kimball Healthcare, Inc. General Acute Care Hospital · Putnam, CT · NPI 1649243478

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2018
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: United Services Inc (31 clinicians)

Practice addresses (Care Compare)

1007 N Main St
Dayville, CT 06241-2170
Phone 86077420208693

Hospital & facility affiliations

Day Kimball Hospital Hospital · Putnam, CT · CCN 070003

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CT
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20190321002470	CT	Practitioner - Nurse Practitioner	5294075602	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Specialty	Status	New patients
United Services Inc		Current since Feb 25, 2019	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	8108	CT	Yes

Addresses

Primary practice location

1007 N Main St
Dayville, CT 06241

Mailing address

1007 N Main St
Dayville, CT 06241-2170
Phone (860) 774-2020

Other practice location 1

501 Racquet Club Rd Apt 63
Weston, FL 33326-1872
Phone (954) 716-3328

Other providers in Dayville, CT

All providers in Dayville, CT · Psychiatric/Mental Health Nurse Practitioner in Connecticut

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.