Samantha Lee Pyne, AUD is a medicare enrolled "Audiologist" provider in San Carlos, California. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice Sutter Bay Medical Foundation and her current practice location is
301 Industrial Rd, San Carlos, California. You can reach out to her office (for appointments etc.) via phone at
(650) 596-4210.
Samantha Lee Pyne is licensed to practice in California (license number AUD3689) 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 1982372058.
Healthcare Provider's Profile
| Full Name | Samantha Lee Pyne |
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| Gender | Female |
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| Speciality | Qualified Audiologist |
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| Experience | 3 Years |
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| Location | 301 Industrial Rd, San Carlos, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Samantha Lee Pyne graduated from medical school in 2021
NPI Data:
- NPI Number: 1982372058
- Provider Enumeration Date: 09/02/2021
- Last Update Date: 05/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 6002212446
- Enrollment ID: I20220428002407
Medical Identifiers
Medical identifiers for Samantha Lee Pyne such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982372058 | NPI | - | NPPES |
| 500797507 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | 31005 (Oregon) | Secondary |
| 231H00000X | Audiologist | AUD3689 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sutter Bay Medical Foundation | 4284538778 | 2995 |
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 Lee Pyne allows following entities to bill medicare on her behalf.
| Provider Name | Sutter Bay Medical Foundation |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1013950807
PECOS PAC ID: 4284538778
Enrollment ID: O20031125000909 |
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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. Samantha Lee Pyne 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 Lee Pyne, AUD
301 Industrial Rd,
San Carlos, CA 94070-2603
Ph: (650) 596-4210 | Samantha Lee Pyne, AUD
301 Industrial Rd,
San Carlos, CA 94070-2603
Ph: (650) 596-4210 |
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