Samantha Lee Dejesus, LCSW in Springfield, VA - Medicare Social Worker Provider

Samantha Lee Dejesus, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Springfield, Virginia. Her current practice location is 7606 Southern Oak Dr, Springfield, Virginia. You can reach out to her office (for appointments etc.) via phone at (917) 608-3605.

Samantha Lee Dejesus is licensed to practice in Virginia (license number 0904016059) 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 1164296141.

Contact Information

	Samantha Lee Dejesus, LCSW
	7606 Southern Oak Dr, Springfield, VA 22153-3579
	(917) 608-3605
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Lee Dejesus
Gender	Female
Speciality	Social Worker - Clinical
Location	7606 Southern Oak Dr, Springfield, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164296141
Provider Enumeration Date: 11/10/2023
Last Update Date: 11/10/2023

Medicare PECOS Information:

PECOS PAC ID: 8022545243
Enrollment ID: I20241227003157

Medical Identifiers

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

Identifier	Type	State	Issuer
1164296141	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	0904016059 (Virginia)	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 Lee Dejesus allows following entities to bill medicare on her behalf.

Entity Name	Psych Associates Of Maryland Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891721981 PECOS PAC ID: 3971550963 Enrollment ID: O20190905000656

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 Lee Dejesus 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 Lee Dejesus, LCSW 7606 Southern Oak Dr, Springfield, VA 22153-3579 Ph: (917) 608-3605	Samantha Lee Dejesus, LCSW 7606 Southern Oak Dr, Springfield, VA 22153-3579 Ph: (917) 608-3605

Reviews and Comments

Social Worker in Springfield, VA

Ms. Mary Carol Owen, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8136 Old Keene Mill Rd, Suite 209-a, Springfield, VA 22152 Phone: 703-644-2361 Fax: 703-913-8563
Mr. Randall Christopher O'toole, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8000 Forbes Pl, Suite #210, Springfield, VA 22151 Phone: 703-425-9200 Fax: 703-425-9206
Ms. Dianna Jeanne Dresser-heckman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6551 Loisdale Ct, Sutie 155, Springfield, VA 22150 Phone: 703-921-0692
Mrs. Katherine Ellen Castelo, LICSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6709 Bellamy Ave, Springfield, VA 22152 Phone: 703-201-0108
Lauren Koontz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6120 Brandon Ave Ste 315, Springfield, VA 22150 Phone: 703-946-4713
Rebecca Sevillano Keegan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6563 Edsall Rd, Springfield, VA 22151 Phone: 703-354-0000
Catherine L Kestle, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8136 Old Keene Mill Rd,, Suite A-302, Springfield, VA 22152 Phone: 703-913-8563 Fax: 703-913-8565

Samantha Lee Dejesus, LCSW - Medicare Clinical Social Worker in Springfield, VA