Samantha Mann, is a medicare enrolled "Psychologist" provider in Maxwelton, West Virginia. Her current practice location is
804 Industrial Park Rd, Maxwelton, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(888) 736-3229.
Samantha Mann is licensed to practice in West Virginia (license number 757) 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 1003915711.
Healthcare Provider's Profile
| Full Name | Samantha Mann |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 804 Industrial Park Rd, Maxwelton, West Virginia |
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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: 1003915711
- Provider Enumeration Date: 09/21/2006
- Last Update Date: 02/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 2264512722
- Enrollment ID: I20080109000596
Medical Identifiers
Medical identifiers for Samantha Mann such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003915711 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 2269 (West Virginia) | Secondary |
| 103T00000X | Psychologist | 757 (West Virginia) | 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 Mann allows following entities to bill medicare on her behalf.
| Entity Name | Seneca Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154532513
PECOS PAC ID: 8022005263
Enrollment ID: O20040428001502 |
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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 Mann 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 Mann,
804 Industrial Park Rd,
Maxwelton, WV 24957-8066
Ph: (304) 486-8571 | Samantha Mann,
804 Industrial Park Rd,
Maxwelton, WV 24957-8066
Ph: (888) 736-3229 |
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