Ms Samantha Connolly, MS, CCC-SLP - Medicare Speech-Language Pathologist in Queens Village, NY

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Ms Samantha Connolly, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Queens Village, New York. She graduated from medical school in 2015 and has 11 years of diverse experience with area of expertise as Qualified Speech Language Pathologist. She is a member of the group practice North Shore-lij Medical Pc and her current practice location is 8043 212th St, Queens Village, New York. You can reach out to her office (for appointments etc.) via phone at (718) 551-7105.

Ms Samantha Connolly is licensed to practice in New York (license number 025569) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114464534.

Contact Information

Ms Samantha Connolly, MS, CCC-SLP
8043 212th St,
Queens Village, NY 11427-1014
(718) 551-7105
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMs Samantha Connolly
GenderFemale
SpecialityQualified Speech Language Pathologist
Experience11 Years
Location8043 212th St, Queens Village, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Samantha Connolly graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1114464534
  • Provider Enumeration Date: 01/23/2017
  • Last Update Date: 06/16/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9931482486
  • Enrollment ID: I20170208001412

Medical Identifiers

Medical identifiers for Ms Samantha Connolly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114464534NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 025569 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Shore-lij Medical Pc33757015686327

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. Ms Samantha Connolly allows following entities to bill medicare on her behalf.
Provider NameNorth Shore Center For Speech, Language & Swallowing Disorders Llp
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1457595472
PECOS PAC ID: 6103952049
Enrollment ID: O20100330000561
Provider NameNorth Shore-lij Medical Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262
Provider NameNy Speech Pathology Consultants Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1285976324
PECOS PAC ID: 7618111634
Enrollment ID: O20130912000851

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. Ms Samantha Connolly 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
Ms Samantha Connolly, MS, CCC-SLP
1391 Holiday Park Dr,
Wantagh, NY 11793-2542

Ph: (718) 551-7105		Ms Samantha Connolly, MS, CCC-SLP
8043 212th St,
Queens Village, NY 11427-1014

Ph: (718) 551-7105

Reviews and Comments


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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.

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