Samantha Leeck, LMSW is a medicare enrolled "Social Worker" provider in Ossineke, Michigan. Her current practice location is
11745 Us Highway 23 S, Ossineke, Michigan. You can reach out to her office (for appointments etc.) via phone at
(989) 471-2156.
Samantha Leeck 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 1770027112.
Healthcare Provider's Profile
| Full Name | Samantha Leeck |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 11745 Us Highway 23 S, Ossineke, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1770027112
- Provider Enumeration Date: 12/05/2016
- Last Update Date: 01/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 1951646421
- Enrollment ID: I20190103000451
Medical Identifiers
Medical identifiers for Samantha Leeck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770027112 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 6801100251 (Michigan) | Secondary |
| 104100000X | Social Worker | (* (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 Leeck allows following entities to bill medicare on her behalf.
| Entity Name | Alcona Citizens For Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326055450
PECOS PAC ID: 5991691958
Enrollment ID: O20040225001194 |
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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 Leeck 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 |
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Samantha Leeck, LMSW
Po Box 655,
Alpena, MI 49707-0655
Ph: () - | Samantha Leeck, LMSW
11745 Us Highway 23 S,
Ossineke, MI 49766-9582
Ph: (989) 471-2156 |
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