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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