Samantha M Buckholtz, CNM is a medicare enrolled "Advanced Practice Midwife" in Mayfield Village, Ohio. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice University Hospitals Medical Group Inc and her current practice location is
955 Worton Park Dr, Mayfield Village, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 355-4555.
Samantha M Buckholtz is licensed to practice in * (Not Available) (license number ) 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 1942798780.
Provider's Profile
| Full Name | Samantha M Buckholtz |
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| Gender | Female |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 7 Years |
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| Location | 955 Worton Park Dr, Mayfield Village, Ohio |
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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 M Buckholtz graduated from nursing school in 2018
NPI Data:
- NPI Number: 1942798780
- Provider Enumeration Date: 04/26/2018
- Last Update Date: 12/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 8820336209
- Enrollment ID: I20201013003159
Medical Identifiers
Medical identifiers for Samantha M Buckholtz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1942798780 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| University Hospitals Medical Group Inc | 4789682493 | 1735 |
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 M Buckholtz allows following entities to bill medicare on her behalf.
| Entity Name | University Hospitals Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669499414
PECOS PAC ID: 4789682493
Enrollment ID: O20061113000301 |
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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 M Buckholtz 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 M Buckholtz, CNM
955 Worton Park Dr,
Mayfield Village, OH 44143-3327
Ph: (216) 355-4555 | Samantha M Buckholtz, CNM
955 Worton Park Dr,
Mayfield Village, OH 44143-3327
Ph: (216) 355-4555 |
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