Samantha Jo Prendergast, FNP-BC - Medicare Nurse Practitioner in Utica, NY

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Samantha Jo Prendergast, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Utica, New York. Her current practice location is 1656 Champlin Ave Ste 406, Utica, New York. You can reach out to her office (for appointments etc.) via phone at (315) 269-9443.

Samantha Jo Prendergast is licensed to practice in New York (license number 344571) 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 1124689963.

Contact Information

Samantha Jo Prendergast, FNP-BC
1656 Champlin Ave Ste 406,
Utica, NY 13502-4830
(315) 269-9443
Not Available

Map and Direction




Provider's Profile

Full NameSamantha Jo Prendergast
GenderFemale
SpecialityNurse Practitioner - Family
Location1656 Champlin Ave Ste 406, Utica, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124689963
  • Provider Enumeration Date: 06/24/2019
  • Last Update Date: 06/24/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0840522793
  • Enrollment ID: I20191028000660

Medical Identifiers

Medical identifiers for Samantha Jo Prendergast such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124689963NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 344571 (New York)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 Jo Prendergast allows following entities to bill medicare on her behalf.
Entity NameMvhs Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770690737
PECOS PAC ID: 2769380252
Enrollment ID: O20031222000433

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 Prendergast 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 AddressPractice Location Address
Samantha Jo Prendergast, FNP-BC
1923 Redfield Ave,
Utica, NY 13501-2708

Ph: (315) 269-9443		Samantha Jo Prendergast, FNP-BC
1656 Champlin Ave Ste 406,
Utica, NY 13502-4830

Ph: (315) 269-9443

Reviews and Comments


Nurse Practitioner Nurses in Utica, NY

Sarah Dunham, FNP
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Practice Location: 1650 Champlin Ave, Utica, NY 13502
Phone: 315-624-8400    
Miss Jenna Yager, FNP
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Practice Location: 111 Hospital Dr, Utica, NY 13502
Phone: 315-917-9966    
Miss Debra Jane Dermady-ray, RN, ANP-BC
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Practice Location: 110 Business Park Dr, Utica, NY 13502
Phone: 315-798-8737    
Cynthia A Altieri,
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Practice Location: 1400 Noyes St, Utica, NY 13502
Phone: 315-797-6800    
Thet Thet Mar, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 120 Hobart St, Utica, NY 13501
Phone: 315-798-1149    Fax: 315-734-3565
Barbara Jean Drake,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2211 Genesee St Ste 200, Utica, NY 13501
Phone: 315-733-7598    Fax: 315-733-7694
Michael S Babula, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1001 Noyes St, Utica, NY 13502
Phone: 315-624-9471    Fax: 315-922-9502

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.