Joann Sampolski, APN is a medicare enrolled "Clinical Nurse Specialist - Gerontology" in Northfield, New Jersey. Her current practice location is
1907 New Rd, Northfield, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(609) 645-8884.
Joann Sampolski is licensed to practice in New Jersey (license number 26NJ00690200) 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 1730623216.
Provider's Profile
| Full Name | Joann Sampolski |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Gerontology |
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| Location | 1907 New Rd, Northfield, New Jersey |
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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: 1730623216
- Provider Enumeration Date: 12/19/2016
- Last Update Date: 12/19/2016
Medicare PECOS Information:
- PECOS PAC ID: 7517243314
- Enrollment ID: I20170410002234
Medical Identifiers
Medical identifiers for Joann Sampolski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1730623216 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SG0600X | Clinical Nurse Specialist - Gerontology | 26NJ00690200 (New Jersey) | 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. Joann Sampolski allows following entities to bill medicare on her behalf.
| Entity Name | Shore Atlantic Geriatrics Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508882051
PECOS PAC ID: 7416985015
Enrollment ID: O20050913000092 |
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| Entity Name | Shore Atlantic Medicine, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598443517
PECOS PAC ID: 2264887298
Enrollment ID: O20231011003773 |
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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. Joann Sampolski 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 |
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Joann Sampolski, APN
108 S Montpelier Ave, Apt 320,
Atlantic City, NJ 08401-6271
Ph: (609) 320-8068 | Joann Sampolski, APN
1907 New Rd,
Northfield, NJ 08225-1545
Ph: (609) 645-8884 |
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