Samantha M Buckholtz, CNM is a medicare enrolled "Advanced Practice Midwife" in Mayfield Village, Ohio. 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 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 1942798780.
Provider's Profile
| Full Name | Samantha M Buckholtz |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 955 Worton Park Dr, Mayfield Village, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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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: I20190208002975
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 |
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 | Orohealth Corporation A Non Profit Healthcare System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013933167
PECOS PAC ID: 4082501192
Enrollment ID: O20040325001703 |
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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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