Ms Samantha Gwen Lee, LMSW, LASAC - Medicare Counselor in Fort Defiance, AZ

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Ms Samantha Gwen Lee, LMSW, LASAC is a medicare enrolled "Social Worker - Clinical" provider in Fort Defiance, Arizona. Her current practice location is Corner Of Route N12 And N7, Fort Defiance, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 729-8000.

Ms Samantha Gwen Lee is licensed to practice in Arizona (license number 16048) 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 1396915542.

Contact Information

Ms Samantha Gwen Lee, LMSW, LASAC
Corner Of Route N12 And N7,
Fort Defiance, AZ 86504
(928) 729-8000
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMs Samantha Gwen Lee
GenderFemale
SpecialitySocial Worker - Clinical
LocationCorner Of Route N12 And N7, Fort Defiance, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396915542
  • Provider Enumeration Date: 03/04/2008
  • Last Update Date: 10/03/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6406175629
  • Enrollment ID: I20150508001814

Medical Identifiers

Medical identifiers for Ms Samantha Gwen Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396915542NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor 13084 (Arizona)Secondary
104100000XSocial Worker 11643 (Arizona)Secondary
1041C0700XSocial Worker - Clinical 16048 (Arizona)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. Ms Samantha Gwen Lee allows following entities to bill medicare on her behalf.
Entity NameThe Fort Defiance Indian Hospital Board, Incorporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477876639
PECOS PAC ID: 0941336697
Enrollment ID: O20100429001153

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. Ms Samantha Gwen Lee 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 AddressPractice Location Address
Ms Samantha Gwen Lee, LMSW, LASAC
Po Box 589,
Fort Defiance, AZ 86504-0589

Ph: (928) 729-8500		Ms Samantha Gwen Lee, LMSW, LASAC
Corner Of Route N12 And N7,
Fort Defiance, AZ 86504

Ph: (928) 729-8000

Reviews and Comments


Social Worker in Fort Defiance, AZ


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.