Samantha N Pettaway, - Medicare Clinical Social Worker in Bayou La Batre, AL

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Samantha N Pettaway, is a medicare enrolled "Social Worker - Clinical" provider in Bayou La Batre, Alabama. Her current practice location is 13833 Tapia Ave, Bayou La Batre, Alabama. You can reach out to her office (for appointments etc.) via phone at (251) 450-2211.

Samantha N Pettaway is licensed to practice in Alabama (license number 3812C) 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 1629444583.

Contact Information

Samantha N Pettaway,
13833 Tapia Ave,
Bayou La Batre, AL 36509-2515
(251) 450-2211
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameSamantha N Pettaway
GenderFemale
SpecialitySocial Worker - Clinical
Location13833 Tapia Ave, Bayou La Batre, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629444583
  • Provider Enumeration Date: 08/14/2015
  • Last Update Date: 06/04/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4587972773
  • Enrollment ID: I20151008001028

Medical Identifiers

Medical identifiers for Samantha N Pettaway such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629444583NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 3812C (Alabama)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 N Pettaway allows following entities to bill medicare on her behalf.
Entity NameAltapointe Health Systems Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518095413
PECOS PAC ID: 1052224052
Enrollment ID: O20040206000701

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 N Pettaway 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
Samantha N Pettaway,
5750a Southland Dr,
Mobile, AL 36693-3316

Ph: (251) 450-5095		Samantha N Pettaway,
13833 Tapia Ave,
Bayou La Batre, AL 36509-2515

Ph: (251) 450-2211

Reviews and Comments


Social Worker in Bayou La Batre, AL

Chelsea Mccormick,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 13833 Tapia Ave, Bayou La Batre, AL 36509
Phone: 251-824-8320    
Karen J Faulk, MSW, LICSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 13833 Tapia Ave, Bayou La Batre, AL 36509
Phone: 251-824-8320    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.