Samantha Paulina Avila, LICSW in Manchester, NH - Medicare Social Worker Provider

Samantha Paulina Avila, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Manchester, New Hampshire. Her current practice location is 2 Wall St Ste 400, Manchester, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 668-4111.

Samantha Paulina Avila is licensed to practice in New Hampshire (license number 2830) 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 1740683606.

Contact Information

	Samantha Paulina Avila, LICSW
	2 Wall St Ste 400, Manchester, NH 03101-1518
	(603) 668-4111
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Paulina Avila
Gender	Female
Speciality	Social Worker - Clinical
Location	2 Wall St Ste 400, Manchester, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740683606
Provider Enumeration Date: 10/06/2014
Last Update Date: 10/19/2022

Medicare PECOS Information:

PECOS PAC ID: 5799153292
Enrollment ID: I20221114002714

Medical Identifiers

Medical identifiers for Samantha Paulina Avila such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740683606	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
1041C0700X	Social Worker - Clinical	2830 (New Hampshire)	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 Paulina Avila allows following entities to bill medicare on her behalf.

Entity Name	The Mental Health Center Of Greater Manchester
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609848811 PECOS PAC ID: 6709874274 Enrollment ID: O20040504000253

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 Paulina Avila 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 Paulina Avila, LICSW 2 Wall St Ste 300, Manchester, NH 03101-1518 Ph: (603) 668-4111	Samantha Paulina Avila, LICSW 2 Wall St Ste 400, Manchester, NH 03101-1518 Ph: (603) 668-4111

Reviews and Comments

Social Worker in Manchester, NH

Dominique M Whiton, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2 Wall St Ste 400, Manchester, NH 03101 Phone: 603-668-4111
Mr. Samuel Sobel, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1555 Elm St, Manchester, NH 03101 Phone: 603-668-4111 Fax: 603-628-7757
Ms. Barbara Ellen Pines-brown, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 718 Smyth Rd, Manchester, NH 03104 Phone: 603-624-4366
Danielle M Panciocco, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1555 Elm St, Manchester, NH 03101 Phone: 603-668-4111 Fax: 603-628-7757
Melissa K Bascom, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: C/o Care Coordination Department, 1 Elliot Way, Manchester, NH 03103 Phone: 603-663-2739 Fax: 603-663-2664
Rebecca Taggart Melia, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2013 Elm St, Manchester, NH 03104 Phone: 603-627-2702 Fax: 603-627-3643
Amy Mcnally, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2 Wall St Ste 400, Manchester, NH 03101 Phone: 603-668-4111

Samantha Paulina Avila, LICSW - Medicare Clinical Social Worker in Manchester, NH