Ms Samantha R Tatum, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Monterey, California. Her current practice location is
419 Webster St Ste 202, Monterey, California. You can reach out to her office (for appointments etc.) via phone at
(408) 600-0089.
Ms Samantha R Tatum is licensed to practice in California (license number LCSW99259) 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 1447837737.
Healthcare Provider's Profile
| Full Name | Ms Samantha R Tatum |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 419 Webster St Ste 202, Monterey, 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: 1447837737
- Provider Enumeration Date: 03/24/2021
- Last Update Date: 12/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 5092247635
- Enrollment ID: I20241021001456
Medical Identifiers
Medical identifiers for Ms Samantha R Tatum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1447837737 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | LCSW99259 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW99259 (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. Ms Samantha R Tatum allows following entities to bill medicare on her behalf.
| Entity Name | Open Mind Mental Health Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093454423
PECOS PAC ID: 2264975580
Enrollment ID: O20240808003499 |
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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. Ms Samantha R Tatum 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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Ms Samantha R Tatum, LCSW
1189 Trinity Ave,
Seaside, CA 93955-5322
Ph: (831) 224-0645 | Ms Samantha R Tatum, LCSW
419 Webster St Ste 202,
Monterey, CA 93940-3241
Ph: (408) 600-0089 |
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