Samantha Kurtenbach, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Colorado Springs, Colorado. She graduated from healthcare school in 2014 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Diversus Health Inc and her current practice location is
7870 Conifer Dr, Colorado Springs, Colorado. You can reach out to her office (for appointments etc.) via phone at
(224) 402-0981.
Samantha Kurtenbach is licensed to practice in Colorado (license number CSW.09928795) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1780396341.
Healthcare Provider's Profile
| Full Name | Samantha Kurtenbach |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 11 Years |
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| Location | 7870 Conifer Dr, Colorado Springs, Colorado |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Samantha Kurtenbach graduated from medical school in 2014
NPI Data:
- NPI Number: 1780396341
- Provider Enumeration Date: 12/14/2022
- Last Update Date: 08/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 2466816012
- Enrollment ID: I20230914002285
Medical Identifiers
Medical identifiers for Samantha Kurtenbach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780396341 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW.09928795 (Colorado) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Diversus Health Inc | 7719879204 | 45 |
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 Kurtenbach allows following entities to bill medicare on her behalf.
| Entity Name | Diversus Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043260243
PECOS PAC ID: 7719879204
Enrollment ID: O20040329000837 |
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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. Samantha Kurtenbach 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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Samantha Kurtenbach, LCSW
7870 Conifer Dr,
Colorado Springs, CO 80920-4526
Ph: (224) 402-0981 | Samantha Kurtenbach, LCSW
7870 Conifer Dr,
Colorado Springs, CO 80920-4526
Ph: (224) 402-0981 |
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