Samantha Lee Kyvik, - Medicare Physician Assistant in Monroe, NY

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Samantha Lee Kyvik, is a medicare enrolled "Physician Assistant" in Monroe, New York. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Hudson Dermatology, Pc and her current practice location is 147 Ludlam Rd, Monroe, New York. You can reach out to her office (for appointments etc.) via phone at (917) 715-8978.

Samantha Lee Kyvik is licensed to practice in New York (license number 025434) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1184246472.

Contact Information

Samantha Lee Kyvik,
147 Ludlam Rd,
Monroe, NY 10950-4534
(917) 715-8978
Not Available

Map and Direction




Provider's Profile

Full NameSamantha Lee Kyvik
GenderFemale
SpecialityPhysician Assistant
Experience6 Years
Location147 Ludlam Rd, Monroe, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samantha Lee Kyvik graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1184246472
  • Provider Enumeration Date: 05/11/2020
  • Last Update Date: 08/29/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6901226703
  • Enrollment ID: I20201016000756

Medical Identifiers

Medical identifiers for Samantha Lee Kyvik such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184246472NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 025434 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hudson Dermatology, Pc802202173240

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 Lee Kyvik allows following entities to bill medicare on her behalf.
Entity NameAnderson Medical PC Dba Emergency One
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114043411
PECOS PAC ID: 0648161653
Enrollment ID: O20040322000091
Entity NameHudson Dermatology, PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508895384
PECOS PAC ID: 8022021732
Enrollment ID: O20060725000350
Entity NameBB Medical and Dermatology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790210516
PECOS PAC ID: 8123396447
Enrollment ID: O20170609001083

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 Lee Kyvik 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 Lee Kyvik,
147 Ludlam Rd,
Monroe, NY 10950-4534

Ph: (917) 715-8978		Samantha Lee Kyvik,
147 Ludlam Rd,
Monroe, NY 10950-4534

Ph: (917) 715-8978

Reviews and Comments


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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.