Samuel Benedict Maynard, APRN - Medicare Nurse Practitioner in New London, CT

Samuel Benedict Maynard, APRN is a medicare enrolled "Nurse Practitioner - Family" in New London, Connecticut. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Scl Health Medical Group - Denver Llc and his current practice location is 1 Shaws Cv, New London, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 447-8304.

Samuel Benedict Maynard is licensed to practice in Connecticut (license number 8305) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124671961.

Contact Information

Samuel Benedict Maynard, APRN
1 Shaws Cv,
New London, CT 06320-4902
(860) 447-8304
Not Available

Map and Direction




Provider's Profile

Full NameSamuel Benedict Maynard
GenderMale
SpecialityNurse Practitioner
Experience5 Years
Location1 Shaws Cv, New London, Connecticut
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samuel Benedict Maynard graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1124671961
  • Provider Enumeration Date: 07/22/2019
  • Last Update Date: 07/22/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0143550897
  • Enrollment ID: I20220105001051

Medical Identifiers

Medical identifiers for Samuel Benedict Maynard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124671961NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 162343 (Connecticut)Secondary
363LF0000XNurse Practitioner - Family 8305 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Joseph HospitalDenver, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Scl Health Medical Group - Denver Llc0840513552414

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. Samuel Benedict Maynard allows following entities to bill medicare on his behalf.
Entity NameScl Health Medical Group - Denver Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083021083
PECOS PAC ID: 0840513552
Enrollment ID: O20150106000131

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. Samuel Benedict Maynard 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
Samuel Benedict Maynard, APRN
749 9th St Unit 203,
Durham, NC 27705-1060

Ph: (504) 432-5708
Samuel Benedict Maynard, APRN
1 Shaws Cv,
New London, CT 06320-4902

Ph: (860) 447-8304

Reviews and Comments


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Katherine Joanne Luther, APRN
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Phone: 860-442-0711    Fax: 860-444-5114

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.