Dr Samantha Jo Brannen, MSW, PHD is a medicare enrolled "Social Worker - Clinical" provider in Wood Heights, Missouri. Her current practice location is
449 Wyman Dr, Wood Heights, Missouri. You can reach out to her office (for appointments etc.) via phone at
(816) 317-4120.
Dr Samantha Jo Brannen is licensed to practice in Missouri (license number 2002026474) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043353089.
Healthcare Provider's Profile
| Full Name | Dr Samantha Jo Brannen |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 449 Wyman Dr, Wood Heights, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1043353089
- Provider Enumeration Date: 02/15/2007
- Last Update Date: 03/27/2026
Medicare PECOS Information:
- PECOS PAC ID: 7618928045
- Enrollment ID: I20050308001147
Medical Identifiers
Medical identifiers for Dr Samantha Jo Brannen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043353089 | NPI | - | NPPES |
| 498318716 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 2002026474 (Missouri) | 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 Samantha Jo Brannen allows following entities to bill medicare on her behalf.
| Entity Name | Mental Health Specialty Group PA |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801472634
PECOS PAC ID: 8921466228
Enrollment ID: O20250213001241 |
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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 Samantha Jo Brannen 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 |
|---|
Dr Samantha Jo Brannen, MSW, PHD
449 Wyman Dr,
Wood Heights, MO 64024-2803
Ph: (816) 317-4120 | Dr Samantha Jo Brannen, MSW, PHD
449 Wyman Dr,
Wood Heights, MO 64024-2803
Ph: (816) 317-4120 |
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