Ms Trista Samuelson, LCSW in Vernon, CT - Medicare Social Worker Provider

Ms Trista Samuelson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Vernon, Connecticut. Her current practice location is 428 Hartford Tpke, Vernon, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 858-4947.

Ms Trista Samuelson is licensed to practice in Connecticut (license number 006823) 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 1932359668.

Contact Information

	Ms Trista Samuelson, LCSW
	428 Hartford Tpke, Vernon, CT 06066-4841
	(860) 858-4947
	(215) 831-9887

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Trista Samuelson
Gender	Female
Speciality	Social Worker - Clinical
Location	428 Hartford Tpke, Vernon, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932359668
Provider Enumeration Date: 09/30/2008
Last Update Date: 12/01/2022

Medicare PECOS Information:

PECOS PAC ID: 3375605819
Enrollment ID: I20081217000689

Medical Identifiers

Medical identifiers for Ms Trista Samuelson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932359668	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CW016916 (Pennsylvania)	Secondary
1041C0700X	Social Worker - Clinical	006823 (Connecticut)	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. Ms Trista Samuelson allows following entities to bill medicare on her behalf.

Entity Name	Hartford Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407806391 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000700

Entity Name	Hartford Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770696643 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000752

Entity Name	Natchaug Hospital, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295811321 PECOS PAC ID: 5395648737 Enrollment ID: O20040202000008

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. Ms Trista Samuelson 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
Ms Trista Samuelson, LCSW 428 Hartford Tpke, Vernon, CT 06066-4841 Ph: (860) 858-4947	Ms Trista Samuelson, LCSW 428 Hartford Tpke, Vernon, CT 06066-4841 Ph: (860) 858-4947

Reviews and Comments

Social Worker in Vernon, CT

Tammy Lynn Andrews, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 45 Hartford Tpke, Suite 2, Vernon, CT 06066 Phone: 860-647-8995
Mrs. Rose Mary Drager, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 31 Union St, Vernon, CT 06066 Phone: 860-872-0501 Fax: 860-872-5298
Ivy Erazo, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 306 Merline Rd, Vernon, CT 06066 Phone: 860-716-3667
Mrs. Alison Kate Sefton Lewis, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 27 Naek Rd, Suite 4, Vernon, CT 06066 Phone: 860-872-9825 Fax: 860-870-9384
Mr. John Francis Hennessey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 60 Elm St, Vernon, CT 06066 Phone: 860-875-0292 Fax: 860-871-4910
Andrew Fontana, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 19 Elm St, Vernon, CT 06066 Phone: 860-872-1918
Michele F Smith, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 31 Union St, Vernon, CT 06066 Phone: 860-872-0501

Ms Trista Samuelson, LCSW - Medicare Clinical Social Worker in Vernon, CT