Samantha E Washington, PSSYD in Milwaukee, WI - Medicare Psychologist Provider

Samantha E Washington, PSSYD is a medicare enrolled "Psychologist - Clinical" provider in Milwaukee, Wisconsin. Her current practice location is 220 W Capitol Dr, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 727-6320.

Samantha E Washington is licensed to practice in Wisconsin (license number 3886-57) 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 1205578416.

Contact Information

	Samantha E Washington, PSSYD
	220 W Capitol Dr, Milwaukee, WI 53212-1185
	(414) 727-6320
	(414) 727-6328

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha E Washington
Gender	Female
Speciality	Psychologist - Clinical
Location	220 W Capitol Dr, Milwaukee, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205578416
Provider Enumeration Date: 04/08/2022
Last Update Date: 10/05/2023

Medicare PECOS Information:

PECOS PAC ID: 8224572904
Enrollment ID: I20240705001302

Medical Identifiers

Medical identifiers for Samantha E Washington such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205578416	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	3886-57 (Wisconsin)	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 E Washington allows following entities to bill medicare on her behalf.

Entity Name	Outreach Community Health Centers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710032669 PECOS PAC ID: 1355247735 Enrollment ID: O20031208000704

Entity Name	Outreach Community Health Centers Inc
Entity Type	Part A Provider - Federally Qualified Health Center (fqhc)
Entity Identifiers	NPI Number: 1932357126 PECOS PAC ID: 1355247735 Enrollment ID: O20040223000414

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 E Washington 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
Samantha E Washington, PSSYD 220 W Capitol Dr, Milwaukee, WI 53212-1185 Ph: (414) 727-6320	Samantha E Washington, PSSYD 220 W Capitol Dr, Milwaukee, WI 53212-1185 Ph: (414) 727-6320

Reviews and Comments

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Samantha E Washington, PSSYD - Medicare Psychologist in Milwaukee, WI