Samantha Marie Harrell, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Moultrie, Georgia. Her current practice location is
705 5th Ave Se, Moultrie, Georgia. You can reach out to her office (for appointments etc.) via phone at
(229) 502-9072.
Samantha Marie Harrell is licensed to practice in Georgia (license number MFT001979) 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 1508639048.
Healthcare Provider's Profile
Full Name | Samantha Marie Harrell |
---|
Gender | Female |
---|
Speciality | Marriage & Family Therapist |
---|
Location | 705 5th Ave Se, Moultrie, Georgia |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508639048
- Provider Enumeration Date: 11/06/2023
- Last Update Date: 11/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 9133649767
- Enrollment ID: I20250225003826
Medical Identifiers
Medical identifiers for Samantha Marie Harrell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508639048 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | MFT001979 (Georgia) | 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 Marie Harrell allows following entities to bill medicare on her behalf.
Entity Name | Grow Healthcare Group Pa |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829 |
---|
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 Marie Harrell 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 Marie Harrell, LMFT 705 5th Ave Se, Moultrie, GA 31768-4910 Ph: (229) 502-9072 | Samantha Marie Harrell, LMFT 705 5th Ave Se, Moultrie, GA 31768-4910 Ph: (229) 502-9072 |
Reviews and Comments