Mrs Samantha Alana Sampath, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Harrison, New Jersey. Her current practice location is
799 S 3rd St Apt 2534, Harrison, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(917) 287-1421.
Mrs Samantha Alana Sampath is licensed to practice in New York (license number 010603) 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 1992308555.
Healthcare Provider's Profile
Full Name | Mrs Samantha Alana Sampath |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 799 S 3rd St Apt 2534, Harrison, New Jersey |
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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: 1992308555
- Provider Enumeration Date: 11/17/2020
- Last Update Date: 11/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 7618486952
- Enrollment ID: I20250529003819
Medical Identifiers
Medical identifiers for Mrs Samantha Alana Sampath such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992308555 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 010603 (New York) | 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. Mrs Samantha Alana Sampath allows following entities to bill medicare on her behalf.
Entity Name | Octave Psychiatry Behavioral Health Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821573023 PECOS PAC ID: 8022527324 Enrollment ID: O20250529003223 |
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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. Mrs Samantha Alana Sampath 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 |
Mrs Samantha Alana Sampath, LMHC 799 S 3rd St Apt 2534, Harrison, NJ 07029-2190 Ph: (917) 287-1421 | Mrs Samantha Alana Sampath, LMHC 799 S 3rd St Apt 2534, Harrison, NJ 07029-2190 Ph: (917) 287-1421 |
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