Samuel Weiss, LICSW in Burlington, VT - Medicare Social Worker Provider

Samuel Weiss, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Burlington, Vermont. His current practice location is 1138 Pine St, Burlington, Vermont. You can reach out to his office (for appointments etc.) via phone at (802) 488-6600.

Samuel Weiss is licensed to practice in Vermont (license number 089-0125268) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093225831.

Contact Information

	Samuel Weiss, LICSW
	1138 Pine St, Burlington, VT 05401-5353
	(802) 488-6600
	(802) 488-6919

Map and Direction

Healthcare Provider's Profile

Full Name	Samuel Weiss
Gender	Male
Speciality	Social Worker - Clinical
Location	1138 Pine St, Burlington, Vermont
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093225831
Provider Enumeration Date: 10/06/2017
Last Update Date: 10/06/2017

Medicare PECOS Information:

PECOS PAC ID: 1254607385
Enrollment ID: I20171018000040

Medical Identifiers

Medical identifiers for Samuel Weiss such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093225831	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	089-0125268 (Vermont)	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. Samuel Weiss allows following entities to bill medicare on his behalf.

Entity Name	University Of Vermont Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659309615 PECOS PAC ID: 3779491071 Enrollment ID: O20040406001047

Entity Name	Community Health Centers Of Burlington Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689678963 PECOS PAC ID: 2062491251 Enrollment ID: O20040720000792

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. Samuel Weiss 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
Samuel Weiss, LICSW 208 Flynn Ave Ste 3j, Burlington, VT 05401-5420 Ph: (802) 488-6920	Samuel Weiss, LICSW 1138 Pine St, Burlington, VT 05401-5353 Ph: (802) 488-6600

Reviews and Comments

Social Worker in Burlington, VT

Shannon Kadish, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1138 Pine St, Burlington, VT 05401 Phone: 802-488-6600
Elyza Moore, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1138 Pine St, Burlington, VT 05401 Phone: 802-488-6000 Fax: 802-488-6919
Ellyn Leamon, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1138 Pine St, Burlington, VT 05401 Phone: 802-863-1326
Lauren Carpenter, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 617 Riverside Ave, Burlington, VT 05401 Phone: 802-864-6309
Elaine Soto, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 300 Flynn Ave, Burlington, VT 05401 Phone: 802-488-6300
Jenifer D'aiello, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 S Prospect St, Burlington, VT 05401 Phone: 802-847-5331 Fax: 802-847-7765
Kathleen Browne, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 617 Riverside Ave, Burlington, VT 05401 Phone: 802-864-6309 Fax: 802-860-4324

Samuel Weiss, LICSW - Medicare Clinical Social Worker in Burlington, VT