Samantha Cacace, is a medicare enrolled "Social Worker - Clinical" provider in Thiensville, Wisconsin. Her current practice location is
136 N Main St Ste 201, Thiensville, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(803) 606-1314.
Samantha Cacace is licensed to practice in Wisconsin (license number 12025-123) 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 1275343949.
Healthcare Provider's Profile
| Full Name | Samantha Cacace |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 136 N Main St Ste 201, Thiensville, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1275343949
- Provider Enumeration Date: 01/13/2025
- Last Update Date: 01/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 1456871458
- Enrollment ID: I20250220002689
Medical Identifiers
Medical identifiers for Samantha Cacace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1275343949 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 12025-123 (Wisconsin) | 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 Cacace allows following entities to bill medicare on her behalf.
| Entity Name | Lakeshore Community Health Care, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245520519 PECOS PAC ID: 3173773124 Enrollment ID: O20130605000747 |
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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. Samantha Cacace 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 Cacace, 7103 Sauk Cir, Mequon, WI 53092-8502 Ph: (803) 606-1314 | Samantha Cacace, 136 N Main St Ste 201, Thiensville, WI 53092-1606 Ph: (803) 606-1314 |
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