Elise Sampson, LCSW is a medicare enrolled "Social Worker" provider in Sacramento, California. Her current practice location is
8912 Volunteer Ln, Sacramento, California. You can reach out to her office (for appointments etc.) via phone at
(916) 344-0199.
Elise Sampson is licensed to practice in California (license number 75759) 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 1619255999.
Healthcare Provider's Profile
| Full Name | Elise Sampson |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 8912 Volunteer Ln, Sacramento, California |
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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: 1619255999
- Provider Enumeration Date: 08/03/2011
- Last Update Date: 04/19/2017
Medicare PECOS Information:
- PECOS PAC ID: 5496299810
- Enrollment ID: I20240626003790
Medical Identifiers
Medical identifiers for Elise Sampson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619255999 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 75759 (California) | 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. Elise Sampson allows following entities to bill medicare on her behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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. Elise Sampson 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 |
|---|
Elise Sampson, LCSW
8912 Volunteer Ln,
Sacramento, CA 95826-3221
Ph: (916) 344-0199 | Elise Sampson, LCSW
8912 Volunteer Ln,
Sacramento, CA 95826-3221
Ph: (916) 344-0199 |
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