Samantha M Vidrine, LCSW in Clinton, LA - Medicare Social Worker Provider

Samantha M Vidrine, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Clinton, Louisiana. Her current practice location is 11990 Jackson St, Clinton, Louisiana. You can reach out to her office (for appointments etc.) via phone at (225) 683-5292.

Samantha M Vidrine is licensed to practice in Louisiana (license number 13378) 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 1912631789.

Contact Information

	Samantha M Vidrine, LCSW
	11990 Jackson St, Clinton, LA 70722-3210
	(225) 683-5292
	(225) 683-1310

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha M Vidrine
Gender	Female
Speciality	Social Worker - Clinical
Location	11990 Jackson St, Clinton, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912631789
Provider Enumeration Date: 07/15/2022
Last Update Date: 07/18/2022

Medicare PECOS Information:

PECOS PAC ID: 1254713811
Enrollment ID: I20220729001434

Medical Identifiers

Medical identifiers for Samantha M Vidrine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912631789	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	13378 (Louisiana)	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 M Vidrine allows following entities to bill medicare on her behalf.

Entity Name	Primary Care Providers For A Healthy Feliciana Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821245127 PECOS PAC ID: 1052220985 Enrollment ID: O20040224000173

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 M Vidrine 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 M Vidrine, LCSW Po Box 395, Clinton, LA 70722-0395 Ph: (225) 683-5292	Samantha M Vidrine, LCSW 11990 Jackson St, Clinton, LA 70722-3210 Ph: (225) 683-5292

Reviews and Comments

Social Worker in Clinton, LA

Shannon B Norris, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10410 Plank Rd, Clinton, LA 70722 Phone: 225-683-8877 Fax: 225-683-1349
Sarah Burns Mccarley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10410 Plank Rd, Clinton, LA 70722 Phone: 225-683-5292 Fax: 225-683-3411
Kelli R Barbay, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292 Fax: 225-683-3411
Miranda Smith, GSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292
Jessica Fae Golden-cooper, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292 Fax: 225-683-3411
Kimberly J Covington-core, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292 Fax: 225-683-3411
Rubby M Douglas, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292 Fax: 225-683-3411

Samantha M Vidrine, LCSW - Medicare Clinical Social Worker in Clinton, LA