Samuel J Northington Jr, in Petersburg, VA - Medicare Counselor Provider

Samuel J Northington Jr, is a medicare enrolled "Counselor" provider in Petersburg, Virginia. His current practice location is 20 W Bank St, Petersburg, Virginia. You can reach out to his office (for appointments etc.) via phone at (804) 731-5570.

Samuel J Northington Jr is licensed to practice in Virginia (license number 0701009784) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174135461.

Contact Information

	Samuel J Northington Jr,
	20 W Bank St, Petersburg, VA 23803-3279
	(804) 731-5570
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samuel J Northington Jr
Gender	Male
Speciality	Counselor
Location	20 W Bank St, Petersburg, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174135461
Provider Enumeration Date: 08/19/2020
Last Update Date: 08/19/2020

Medicare PECOS Information:

PECOS PAC ID: 3971948480
Enrollment ID: I20240223002567

Medical Identifiers

Medical identifiers for Samuel J Northington Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174135461	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	0701009784 (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. Samuel J Northington Jr allows following entities to bill medicare on his behalf.

Entity Name	District 19 Community Services Board
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225094451 PECOS PAC ID: 4082502398 Enrollment ID: O20040421001639

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. Samuel J Northington Jr 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
Samuel J Northington Jr, 1742 S Sycamore St, Petersburg, VA 23805-1627 Ph: (804) 731-5570	Samuel J Northington Jr, 20 W Bank St, Petersburg, VA 23803-3279 Ph: (804) 731-5570

Reviews and Comments

Counselor in Petersburg, VA

Charita Threatt, LPC Counselor Medicare: Medicare Enrolled Practice Location: 105 Holly Hill Dive, Petersburg, VA 23805 Phone: 804-733-8847
Titoni Levon Crenshaw, QMHP, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2825 S Crater Rd, Petersburg, VA 23805 Phone: 804-712-3546
Alexandrea J Jackson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Poplar Dr, Petersburg, VA 23805 Phone: 804-733-6874 Fax: 804-518-1341
Ebony Glynn Walker, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Poplar Dr, Petersburg, VA 23805 Phone: 804-733-6874
Ashely Ryan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 W Bank St, Suite 5, Petersburg, VA 23803 Phone: 804-863-1689
Mr. Ricky Terrell Norwood Jr., M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 Harrison Creek Blvd Apt 6201, Petersburg, VA 23803 Phone: 804-861-4884 Fax: 804-862-7188
Michael Anthony Thomas, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 N Sycamore St, Petersburg, VA 23803 Phone: 804-919-1199

Samuel J Northington Jr, - Medicare Counselor in Petersburg, VA