Vanesa Elizabeth Samos, FNP is a medicare enrolled "Nurse Practitioner - Family" in Valley Falls, New York. Her current practice location is
1732 State Route 67, Valley Falls, New York. You can reach out to her office (for appointments etc.) via phone at
(928) 246-1555.
Vanesa Elizabeth Samos is licensed to practice in New York (license number 347264) 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 1114595139.
Provider's Profile
| Full Name | Vanesa Elizabeth Samos |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1732 State Route 67, Valley Falls, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114595139
- Provider Enumeration Date: 06/15/2021
- Last Update Date: 06/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 3870983505
- Enrollment ID: I20211210002119
Medical Identifiers
Medical identifiers for Vanesa Elizabeth Samos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1114595139 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 347264 (New York) | 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. Vanesa Elizabeth Samos allows following entities to bill medicare on her behalf.
| Entity Name | Mcginnis Womens Medical Care, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194746941 PECOS PAC ID: 2466494364 Enrollment ID: O20050601000283 |
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| Entity Name | Upper Hudson Planned Parenthood Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881755601 PECOS PAC ID: 4284803743 Enrollment ID: O20110818000098 |
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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. Vanesa Elizabeth Samos 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 |
Vanesa Elizabeth Samos, FNP 1732 State Route 67, Valley Falls, NY 12185-3445 Ph: (928) 246-1555 | Vanesa Elizabeth Samos, FNP 1732 State Route 67, Valley Falls, NY 12185-3445 Ph: (928) 246-1555 |
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