Samantha Kissig, in Willoughby Hills, OH - Medicare Counselor Provider

Samantha Kissig, is a medicare enrolled "Counselor" provider in Willoughby Hills, Ohio. Her current practice location is 34950 Chardon Rd Ste 210, Willoughby Hills, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 505-9536.

Samantha Kissig is licensed to practice in * (Not Available) (license number ) 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 1558710087.

Contact Information

	Samantha Kissig,
	34950 Chardon Rd Ste 210, Willoughby Hills, OH 44094-9162
	(216) 505-9536
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Kissig
Gender	Female
Speciality	Counselor
Location	34950 Chardon Rd Ste 210, Willoughby Hills, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558710087
Provider Enumeration Date: 06/06/2016
Last Update Date: 01/12/2026

Medicare PECOS Information:

PECOS PAC ID: 9739593633
Enrollment ID: I20210204003003

Medical Identifiers

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

Identifier	Type	State	Issuer
1558710087	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	Primary
1041C0700X	Social Worker - Clinical	I.2102575-SUPV (Ohio)	Secondary

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 Kissig allows following entities to bill medicare on her behalf.

Entity Name	Crossroads Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356303911 PECOS PAC ID: 9638440241 Enrollment ID: O20170731003569

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 Kissig 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 Kissig, 34950 Chardon Rd Ste 210, Willoughby Hills, OH 44094-9162 Ph: (440) 596-9862	Samantha Kissig, 34950 Chardon Rd Ste 210, Willoughby Hills, OH 44094-9162 Ph: (216) 505-9536

Reviews and Comments

Counselor in Willoughby Hills, OH

Mrs. Maria Lynn D'amico, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 34900 Chardon Rd Ste 200, Willoughby Hills, OH 44094 Phone: 216-468-5000
Mrs. Gina Maria Sinito, Counselor Medicare: Medicare Enrolled Practice Location: 35000 Chardon Rd Ste 210, Willoughby Hills, OH 44094 Phone: 440-951-5600 Fax: 440-951-1293
Linda Cole, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 34950 Chardon Rd, Bldg 2 Ste 210, Willoughby Hills, OH 44094 Phone: 216-548-9885
Jessica M Wiener, PC Counselor Medicare: Not Enrolled in Medicare Practice Location: 34950 Chardon Rd Ste 202, Willoughby Hills, OH 44094 Phone: 440-510-5100 Fax: 440-510-5151
Ayauna Sha-ron Chapman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2785 Som Center Rd, Willoughby Hills, OH 44094 Phone: 216-278-0288
Mrs. Nicole Lynn O'donnell, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2882 Cricket Ln, Willoughby Hills, OH 44092 Phone: 440-347-0716
Mrs. Jennifer N Rauzan, L.P.C.C. Counselor Medicare: Medicare Enrolled Practice Location: 34950 Chardon Rd Ste 210, Willoughby Hills, OH 44094 Phone: 440-571-4499

Samantha Kissig, - Medicare Counselor in Willoughby Hills, OH