Samantha Jo Devine, MA, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Fenton, Missouri. She graduated from healthcare school in 2016 and has 10 years of diverse experience with area of expertise as Marriage And Family Therapist. She is a member of the group practice St Louis Counseling, Inc and her current practice location is
5 Premier Dr Ste 200, Fenton, Missouri. You can reach out to her office (for appointments etc.) via phone at
(314) 544-3800.
Samantha Jo Devine is licensed to practice in Missouri (license number 2017026551) 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 1669021457.
Healthcare Provider's Profile
| Full Name | Samantha Jo Devine |
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| Gender | Female |
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| Speciality | Marriage And Family Therapist |
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| Experience | 10 Years |
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| Location | 5 Premier Dr Ste 200, Fenton, Missouri |
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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. |
Medical Education and Training:
- Samantha Jo Devine graduated from medical school in 2016
NPI Data:
- NPI Number: 1669021457
- Provider Enumeration Date: 09/05/2019
- Last Update Date: 07/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 5193176683
- Enrollment ID: I20240109003138
Medical Identifiers
Medical identifiers for Samantha Jo Devine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1669021457 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | 2017026551 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| St Louis Counseling, Inc | 7214901289 | 13 |
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 Jo Devine allows following entities to bill medicare on her behalf.
| Entity Name | St Louis Counseling, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053397133 PECOS PAC ID: 7214901289 Enrollment ID: O20040907000813 |
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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 Jo Devine 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 Jo Devine, MA, LMFT 5 Premier Dr Ste 200, Fenton, MO 63026-2943 Ph: (314) 544-3800 | Samantha Jo Devine, MA, LMFT 5 Premier Dr Ste 200, Fenton, MO 63026-2943 Ph: (314) 544-3800 |
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