Samantha Doucette, APRN in Mystic, CT - Medicare Nurse Practitioner

Samantha Doucette, APRN is a medicare enrolled "Nurse Practitioner - Adult Health" in Mystic, Connecticut. Her current practice location is 100 Perkins Farm Dr, Mystic, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 545-5000.

Samantha Doucette is licensed to practice in Connecticut (license number 10814) 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 1821735382.

Contact Information

	Samantha Doucette, APRN
	100 Perkins Farm Dr, Mystic, CT 06355-4037
	(860) 545-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Samantha Doucette
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	100 Perkins Farm Dr, Mystic, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821735382
Provider Enumeration Date: 05/17/2022
Last Update Date: 08/25/2022

Medicare PECOS Information:

PECOS PAC ID: 0345625240
Enrollment ID: I20220913002574

Medical Identifiers

Medical identifiers for Samantha Doucette such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821735382	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	109771 (Connecticut)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	10814 (Connecticut)	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 Doucette allows following entities to bill medicare on her behalf.

Entity Name	Hartford Healthcare Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043561301 PECOS PAC ID: 1153573902 Enrollment ID: O20121201000007

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 Doucette 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 Doucette, APRN 100 Perkins Farm Dr Ste 203, Mystic, CT 06355-4041 Ph: (860) 572-8911	Samantha Doucette, APRN 100 Perkins Farm Dr, Mystic, CT 06355-4037 Ph: (860) 545-5000

Reviews and Comments

Nurse Practitioner Nurses in Mystic, CT

Ms. Mary Ellen Pagnozzi, A.P.R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3 Heron Rd, Mystic, CT 06355 Phone: 860-536-6442 Fax: 860-536-6442
Mrs. Karen Janet Terwilliger, MS, APRN, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Heron Rd, Mystic, CT 06355 Phone: 401-497-6799
Shaniya Rosenkrantz, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Perkins Farm Dr, Mystic, CT 06355 Phone: 860-572-8911
Cheryl A Walker, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3 Heron Rd, Mystic, CT 06355 Phone: 860-536-6442 Fax: 860-536-6442
Miss Jennifer L. Hardy, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Sandy Hollow Rd, Mystic, CT 06355 Phone: 860-572-0402 Fax: 860-572-7758
Sandy Zhang, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23 Clara Dr, Mystic, CT 06355 Phone: 860-572-5782 Fax: 860-865-2385

Samantha Doucette, APRN - Medicare Nurse Practitioner in Mystic, CT