Samantha Dippolino, APRN, LCSW is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Plainville, Connecticut. She graduated from medical school in 2013 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Middlesex Hospital and her current practice location is
74 East St, Plainville, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 793-4200.
Samantha Dippolino is licensed to practice in Connecticut (license number 8295) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1952748634.
Healthcare Provider's Profile
| Full Name | Samantha Dippolino |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 12 Years |
|---|
| Location | 74 East St, Plainville, Connecticut |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Samantha Dippolino graduated from medical school in 2013
NPI Data:
- NPI Number: 1952748634
- Provider Enumeration Date: 06/04/2013
- Last Update Date: 07/14/2019
Medicare PECOS Information:
- PECOS PAC ID: 6406136035
- Enrollment ID: I20190828003466
Medical Identifiers
Medical identifiers for Samantha Dippolino such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1952748634 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 8295 (Connecticut) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Middlesex Hospital | 5092611731 | 208 |
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 Dippolino allows following entities to bill medicare on her behalf.
| Entity Name | Middlesex Hospital |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1760454334 PECOS PAC ID: 5092611731 Enrollment ID: O20031211000843 |
|---|
| Entity Name | Wheeler Clinic Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1396750840 PECOS PAC ID: 0345147153 Enrollment ID: O20031218000218 |
|---|
| Entity Name | Middlesex Hospital |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1760451041 PECOS PAC ID: 5092611731 Enrollment ID: O20060912000506 |
|---|
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 Dippolino 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 Dippolino, APRN, LCSW 10b Mountain Rd, Farmington, CT 06032-2340 Ph: () - | Samantha Dippolino, APRN, LCSW 74 East St, Plainville, CT 06062-2367 Ph: (860) 793-4200 |
Reviews and Comments