Samantha Burgos, LCSW in Wethersfield, CT - Medicare Social Worker Provider

Samantha Burgos, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Wethersfield, Connecticut. Her current practice location is 433 Silas Deane Hwy, Wethersfield, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 837-0300.

Samantha Burgos is licensed to practice in * (Not Available) (license number ) 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 1215464052.

Contact Information

	Samantha Burgos, LCSW
	433 Silas Deane Hwy, Wethersfield, CT 06109-2123
	(860) 837-0300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Burgos
Gender	Female
Speciality	Social Worker - Clinical
Location	433 Silas Deane Hwy, Wethersfield, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215464052
Provider Enumeration Date: 05/11/2017
Last Update Date: 07/22/2020

Medicare PECOS Information:

PECOS PAC ID: 2567882723
Enrollment ID: I20201009000926

Medical Identifiers

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

Identifier	Type	State	Issuer
1215464052	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	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. Samantha Burgos allows following entities to bill medicare on her behalf.

Entity Name	Connecticut Children's Specialty Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468

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 Burgos 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 Burgos, LCSW 433 Silas Deane Hwy, Wethersfield, CT 06109-2123 Ph: (860) 837-0300	Samantha Burgos, LCSW 433 Silas Deane Hwy, Wethersfield, CT 06109-2123 Ph: (860) 837-0300

Reviews and Comments

Social Worker in Wethersfield, CT

Amanda Wanat, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1177 Silas Deane Hwy, Wethersfield, CT 06109 Phone: 860-837-0401
Catrina Franco, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 Harding St, Wethersfield, CT 06109 Phone: 860-459-8902
Marie Ellen Goodine, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1177 Silas Deane Hwy Ste 3, Wethersfield, CT 06109 Phone: 860-837-0401
Alanna Cofrancesco, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 24 Wolcott Hill Rd, Wethersfield, CT 06109 Phone: 959-200-3127
Michelle Sarofin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 47 Coleman Rd, Wethersfield, CT 06109 Phone: 203-886-9193
Jacob James Carpenter, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 77 Charter Rd, Wethersfield, CT 06109 Phone: 802-380-9473
Mr. Chad Williams, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1177 Silas Deane Hwy, Wethersfield, CT 06109 Phone: 860-712-0279

Samantha Burgos, LCSW - Medicare Clinical Social Worker in Wethersfield, CT