Samantha Girot, in Connersville, IN - Medicare Counselor Provider

Samantha Girot, is a medicare enrolled "Counselor - Mental Health" provider in Connersville, Indiana. Her current practice location is 390 East Erie St, Connersville, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 825-4124.

Samantha Girot is licensed to practice in Indiana (license number 88001323A) 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 1043820608.

Contact Information

	Samantha Girot,
	390 East Erie St, Connersville, IN 47331-3177
	(765) 825-4124
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Girot
Gender	Female
Speciality	Counselor - Mental Health
Location	390 East Erie St, Connersville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043820608
Provider Enumeration Date: 08/07/2020
Last Update Date: 01/24/2024

Medicare PECOS Information:

PECOS PAC ID: 4082050729
Enrollment ID: I20240315002364

Medical Identifiers

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

Identifier	Type	State	Issuer
1043820608	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	88001323A (Indiana)	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 Girot allows following entities to bill medicare on her behalf.

Entity Name	Centerstone Of Indiana, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992781470 PECOS PAC ID: 9436138427 Enrollment ID: O20040830000711

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 Girot 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 Girot, Po Box 197572, Nashville, TN 37219-7572 Ph: (812) 337-2405	Samantha Girot, 390 East Erie St, Connersville, IN 47331-3177 Ph: (765) 825-4124

Reviews and Comments

Counselor in Connersville, IN

Pauline Stanton, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 W 20th St, Connersville, IN 47331 Phone: 765-827-5610 Fax: 765-825-9440
Sabrina M Heeren, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 390 E Erie Street, Connersville, IN 47331 Phone: 765-825-4124 Fax: 765-825-3649
Karen Kay Isaacs, CHW/CRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 208 W 21st St, Connersville, IN 47331 Phone: 765-338-9885 Fax: 765-222-1249
Cristina Marie Young, Counselor Medicare: Not Enrolled in Medicare Practice Location: 820 Oak St Apt 2, Connersville, IN 47331 Phone: 765-265-3108
Donna J Adams, MSW, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 390 Erie Ave, Connersville, IN 47331 Phone: 765-825-4124
Nathan Striegler, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 390 Erie Ave, Connersville, IN 47331 Phone: 765-825-4124 Fax: 765-825-3649

Samantha Girot, - Medicare Counselor in Connersville, IN