Samantha Agan, LISW in Fairfield, IA - Medicare Social Worker Provider

Samantha Agan, LISW is a medicare enrolled "Social Worker - Clinical" provider in Fairfield, Iowa. Her current practice location is 2095 150th St., Fairfield, Iowa. You can reach out to her office (for appointments etc.) via phone at (641) 895-2149.

Samantha Agan is licensed to practice in Iowa (license number 081451) 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 1598210114.

Contact Information

	Samantha Agan, LISW
	2095 150th St., Fairfield, IA 52556
	(641) 895-2149
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Agan
Gender	Female
Speciality	Social Worker - Clinical
Location	2095 150th St., Fairfield, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598210114
Provider Enumeration Date: 08/24/2016
Last Update Date: 02/03/2026

Medicare PECOS Information:

PECOS PAC ID: 2860888906
Enrollment ID: I20220330000207

Medical Identifiers

Medical identifiers for Samantha Agan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598210114	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	081451 (Iowa)	Primary
104100000X	Social Worker	081451 (Iowa)	Secondary

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. Samantha Agan allows following entities to bill medicare on her behalf.

Entity Name	Grace C Mae Advocate Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700018405 PECOS PAC ID: 2668504549 Enrollment ID: O20100712000391

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. Samantha Agan 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
Samantha Agan, LISW 2095 150th St., Fairfield, IA 52556 Ph: () -	Samantha Agan, LISW 2095 150th St., Fairfield, IA 52556 Ph: (641) 895-2149

Reviews and Comments

Social Worker in Fairfield, IA

Tracy Liptak, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 301 W Burlington, Fairfield, IA 52556 Phone: 641-472-5771 Fax: 641-472-1817
Lacey Kristine Brooks, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 406 E Madison Ave, Fairfield, IA 52556 Phone: 641-683-5773 Fax: 641-226-5759
Claudia Mast, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 301 W Burlington, Fairfield, IA 52556 Phone: 641-472-5771
Christine Elizabeth England, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 204b W Burlington Ave, Fairfield, IA 52556 Phone: 641-472-7216 Fax: 641-472-1786
Celeste Elaine Neff, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 301 W Burlington Ave, Fairfield, IA 52556 Phone: 641-472-5771 Fax: 641-472-1817
Seanan Thomas, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 301 W Burlington Ave, Fairfield, IA 52556 Phone: 512-517-7217
Marjorie Gerber, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2201 W Jefferson Ave, Fairfield, IA 52556 Phone: 641-472-5771 Fax: 641-472-1817

Samantha Agan, LISW - Medicare Clinical Social Worker in Fairfield, IA