Sam Piotrowski, MA in Burlington, VT - Medicare Psychologist Provider

Sam Piotrowski, MA is a medicare enrolled "Psychologist" provider in Burlington, Vermont. His current practice location is 112 Lake St, Burlington, Vermont. You can reach out to his office (for appointments etc.) via phone at (802) 865-3450.

Sam Piotrowski is licensed to practice in Vermont (license number 0470100524) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104234756.

Contact Information

	Sam Piotrowski, MA
	112 Lake St, Burlington, VT 05401-5284
	(802) 865-3450
	(802) 860-5011

Map and Direction

Healthcare Provider's Profile

Full Name	Sam Piotrowski
Gender	Male
Speciality	Psychologist
Location	112 Lake St, Burlington, Vermont
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104234756
Provider Enumeration Date: 07/28/2014
Last Update Date: 07/28/2014

Medicare PECOS Information:

PECOS PAC ID: 8820520844
Enrollment ID: I20241108002192

Medical Identifiers

Medical identifiers for Sam Piotrowski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104234756	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	0470100524 (Vermont)	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. Sam Piotrowski allows following entities to bill medicare on his behalf.

Entity Name	Sam Piotrowski, M.a., Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790155075 PECOS PAC ID: 3476085499 Enrollment ID: O20241016000529

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. Sam Piotrowski 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
Sam Piotrowski, MA 112 Lake St, Burlington, VT 05401-5284 Ph: (802) 865-3450	Sam Piotrowski, MA 112 Lake St, Burlington, VT 05401-5284 Ph: (802) 865-3450

Reviews and Comments

Psychologist in Burlington, VT

Jessica Clifton, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2 Colchester Ave, Burlington, VT 05405 Phone: 802-656-2661 Fax: 802-656-3485
Courtney Landau Fleisher, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 111 Colchester Ave, Patrick 408, Burlington, VT 05401 Phone: 802-847-4923 Fax: 802-847-8961
Seth Brownstein, LIC PSYCH-MASTER Psychologist Medicare: Not Enrolled in Medicare Practice Location: 431 Pine St, Suite 201, Burlington, VT 05401 Phone: 802-865-9886 Fax: 802-865-3737
Dr. Emily Mazzulla, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2 Colchester Ave, Burlington, VT 05405 Phone: 802-656-2661 Fax: 802-656-3485
Kirsten Root, PSYCHOLOGIST-MASTER Psychologist Medicare: Medicare Enrolled Practice Location: 100 Main St, Burlington, VT 05401 Phone: 802-417-7392
Ms. Aimee Idelle Gaffney, M.A. Psychologist Medicare: Medicare Enrolled Practice Location: 2 Church St, Suite 4a, Burlington, VT 05401 Phone: 802-863-9393 Fax: 802-286-3939
Ms. Diane S Freiheit, M.S. Psychologist Medicare: Medicare Enrolled Practice Location: 156 College St, Suite 201, Burlington, VT 05401 Phone: 802-651-7679 Fax: 802-860-0183

Sam Piotrowski, MA - Medicare Psychologist in Burlington, VT