Samantha Leigh Guillod, APN - Medicare Nurse Practitioner in Ridgewood, NJ

Samantha Leigh Guillod, APN is a medicare enrolled "Nurse Practitioner" in Ridgewood, New Jersey. Her current practice location is 223 N Van Dien Ave, Ridgewood, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 447-8000.

Samantha Leigh Guillod is licensed to practice in New Jersey (license number 26NJ01444700) 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 1063110815.

Contact Information

Samantha Leigh Guillod, APN
223 N Van Dien Ave,
Ridgewood, NJ 07450-2726
(201) 447-8000
Not Available

Map and Direction




Provider's Profile

Full NameSamantha Leigh Guillod
GenderFemale
SpecialityNurse Practitioner
Location223 N Van Dien Ave, Ridgewood, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063110815
  • Provider Enumeration Date: 02/21/2023
  • Last Update Date: 02/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1557729548
  • Enrollment ID: I20230623000759

Medical Identifiers

Medical identifiers for Samantha Leigh Guillod such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063110815NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 26NJ01444700 (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. Samantha Leigh Guillod allows following entities to bill medicare on her behalf.
Entity NamePersonal Np Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649658105
PECOS PAC ID: 9335455179
Enrollment ID: O20150825003750

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 Leigh Guillod 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 Leigh Guillod, APN
223 N Van Dien Ave,
Ridgewood, NJ 07450-2726

Ph: (201) 447-8000
Samantha Leigh Guillod, APN
223 N Van Dien Ave,
Ridgewood, NJ 07450-2726

Ph: (201) 447-8000

Reviews and Comments


Nurse Practitioner Nurses in Ridgewood, NJ

Jennifer Polizzano, APN-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450
Phone: 201-447-8345    Fax: 201-447-8103
Kelly Rumler, APN-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450
Phone: 201-447-8000    
Susan Bell,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 505 Goffle Rd, Ridgewood, NJ 07450
Phone: 201-612-1006    Fax: 201-612-1091
Kimberly Michele Pryslak, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450
Phone: 201-447-8000    
Mary Catherine Collins, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450
Phone: 201-447-8371    
Mrs. Marianne Marie Longo,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1200 E Ridgewood Ave, 2nd Floor, Ridgewood, NJ 07450
Phone: 201-670-8660    Fax: 201-670-6693

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.