Samantha Lina Valle, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Holbrook, New York. She went to State University Of New York At Stony Brook, School Of Medicine and graduated in 2017 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Fpa Hospital Based and her current practice location is
161 Avenue D, Holbrook, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 672-3218.
Samantha Lina Valle is licensed to practice in New York (license number 697660) 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 1033951959.
Provider's Profile
| Full Name | Samantha Lina Valle |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 8 Years |
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| Location | 161 Avenue D, Holbrook, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Samantha Lina Valle attended and graduated from State University Of New York At Stony Brook, School Of Medicine in 2017
NPI Data:
- NPI Number: 1033951959
- Provider Enumeration Date: 06/11/2024
- Last Update Date: 10/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 3577095926
- Enrollment ID: I20241010001774
Medical Identifiers
Medical identifiers for Samantha Lina Valle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033951959 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 697660 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Fpa Hospital Based | 4789826694 | 361 |
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 Lina Valle allows following entities to bill medicare on her behalf.
| Entity Name | Fpa Hospital Based |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629319413
PECOS PAC ID: 4789826694
Enrollment ID: O20130806000185 |
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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. Samantha Lina Valle 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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Samantha Lina Valle,
161 Avenue D,
Holbrook, NY 11741-2333
Ph: () - | Samantha Lina Valle,
161 Avenue D,
Holbrook, NY 11741-2333
Ph: (631) 672-3218 |
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