Samantha Durietz, is a
Social Worker - Clinical based in Benton, Illinois. Samantha Durietz is licensed to practice in Illinois (license number 149015816) and her current practice location is
8501 Valley Rd, Benton, Illinois. She can be reached at her office (for appointments etc.) via phone at
(309) 868-2725.
NPI number for Samantha Durietz is 1144735713 and her current mailing address is 8501 Valley Rd, Benton, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144735713.
Healthcare Provider's Profile
| Full Name | Samantha Durietz |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 8501 Valley Rd, Benton, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1144735713
- Provider Enumeration Date: 12/05/2017
- Last Update Date: 12/05/2017
Medical Identifiers
Medical identifiers for Samantha Durietz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144735713 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 149015816 (Illinois) | Primary |
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 Durietz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Samantha Durietz,
8501 Valley Rd,
Benton, IL 62812-4103
Ph: () - | Samantha Durietz,
8501 Valley Rd,
Benton, IL 62812-4103
Ph: (309) 868-2725 |
Reviews and Comments