Dr Samantha Lavarda, PSYD is a medicare enrolled "Psychologist" provider in Milwaukee, Wisconsin. Her current practice location is
9455 W Watertown Plank Rd, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 257-6707.
Dr Samantha Lavarda 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 1407162340.
Healthcare Provider's Profile
| Full Name | Dr Samantha Lavarda |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 9455 W Watertown Plank Rd, Milwaukee, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1407162340
- Provider Enumeration Date: 08/30/2010
- Last Update Date: 01/22/2019
Medicare PECOS Information:
- PECOS PAC ID: 4183962020
- Enrollment ID: I20190219000766
Medical Identifiers
Medical identifiers for Dr Samantha Lavarda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407162340 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | 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. Dr Samantha Lavarda allows following entities to bill medicare on her behalf.
| Entity Name | County Of Waukesha Department Of Finance |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740403146 PECOS PAC ID: 3971405481 Enrollment ID: O20040124000130 |
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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. Dr Samantha Lavarda 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 |
Dr Samantha Lavarda, PSYD 12133 W Barnard Ave, Greenfield, WI 53228-3053 Ph: (414) 377-9776 | Dr Samantha Lavarda, PSYD 9455 W Watertown Plank Rd, Milwaukee, WI 53226-3559 Ph: (414) 257-6707 |
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