Samuel Harrison Annis, LMFT in Madison, WI - Medicare Marriage & Family Therapist Provider

Samuel Harrison Annis, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Madison, Wisconsin. His current practice location is 440 Science Dr Ste 300, Madison, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 236-4460.

Samuel Harrison Annis is licensed to practice in Wisconsin (license number 2127-124) 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 1245813898.

Contact Information

	Samuel Harrison Annis, LMFT
	440 Science Dr Ste 300, Madison, WI 53711-1064
	(608) 236-4460
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samuel Harrison Annis
Gender	Male
Speciality	Marriage & Family Therapist
Location	440 Science Dr Ste 300, Madison, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245813898
Provider Enumeration Date: 05/02/2021
Last Update Date: 09/25/2023

Medicare PECOS Information:

PECOS PAC ID: 3375073034
Enrollment ID: I20250210003352

Medical Identifiers

Medical identifiers for Samuel Harrison Annis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245813898	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	2127-124 (Wisconsin)	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 Harrison Annis allows following entities to bill medicare on his behalf.

Entity Name	Greyley Wellness Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093256604 PECOS PAC ID: 2860823036 Enrollment ID: O20200504002365

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 Harrison Annis 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 Harrison Annis, LMFT 2570 Hoard St, Madison, WI 53704-4957 Ph: (908) 477-5707	Samuel Harrison Annis, LMFT 440 Science Dr Ste 300, Madison, WI 53711-1064 Ph: (608) 236-4460

Reviews and Comments

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Samuel Harrison Annis, LMFT - Medicare Couples Therapy in Madison, WI