Polly Sams, LICSW in Ellensburg, WA - Medicare Clinical Social Worker Provider

Polly Sams, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Ellensburg, Washington. She graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Kittitas County Public Hospital Dist 1 and her current practice location is 100 E Jackson Ave Ste 301, Ellensburg, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 933-8777.

Polly Sams is licensed to practice in Washington (license number LW00004356) 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 1326710997.

Contact Information

	Polly Sams, LICSW
	100 E Jackson Ave Ste 301, Ellensburg, WA 98926-3692
	(509) 933-8777
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Polly Sams
Gender	Female
Speciality	Clinical Social Worker
Experience	28 Years
Location	100 E Jackson Ave Ste 301, Ellensburg, Washington
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Polly Sams graduated from medical school in 1996

NPI Data:

NPI Number: 1326710997
Provider Enumeration Date: 10/01/2021
Last Update Date: 10/01/2021

Medicare PECOS Information:

PECOS PAC ID: 1658769567
Enrollment ID: I20211026002721

Medical Identifiers

Medical identifiers for Polly Sams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326710997	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LW00004356 (Washington)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kittitas County Public Hospital Dist 1	0547179608	63

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. Polly Sams allows following entities to bill medicare on her behalf.

Entity Name	Kittitas County Public Hospital Dist 1
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356375307 PECOS PAC ID: 0547179608 Enrollment ID: O20040213000046

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. Polly Sams 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
Polly Sams, LICSW 603 S Chestnut St, Ellensburg, WA 98926-3875 Ph: (509) 962-9841	Polly Sams, LICSW 100 E Jackson Ave Ste 301, Ellensburg, WA 98926-3692 Ph: (509) 933-8777

Reviews and Comments

Social Worker in Ellensburg, WA

Jennifer Sparr, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 707 N Pearl St, Ellensburg, WA 98926 Phone: 509-575-4084
Abby Berman, L.I.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 305 W 11th Ave, Suite 1, Ellensburg, WA 98926 Phone: 509-962-2954
Lael Simone Harris, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 401 E Mountain View Ave Ste 4, Ellensburg, WA 98926 Phone: 509-825-4020
Carol Gilliom, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 220 W 4th Ave, Ellensburg, WA 98926 Phone: 509-925-9861
Christi Collins, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 707 N Pearl St Ste K, Ellensburg, WA 98926 Phone: 509-575-4084

Polly Sams, LICSW - Medicare Clinical Social Worker in Ellensburg, WA