Taylor Sommerville Samela, in Waterbury, CT - Medicare Social Worker Provider

Taylor Sommerville Samela, is a medicare enrolled "Social Worker - Clinical" provider in Waterbury, Connecticut. Her current practice location is 1336 W Main St, Waterbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 806-2516.

Taylor Sommerville Samela is licensed to practice in Connecticut (license number 009074) 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 1821360512.

Contact Information

	Taylor Sommerville Samela,
	1336 W Main St, Waterbury, CT 06708-3122
	(860) 806-2516
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Taylor Sommerville Samela
Gender	Female
Speciality	Social Worker - Clinical
Location	1336 W Main St, Waterbury, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821360512
Provider Enumeration Date: 01/27/2012
Last Update Date: 06/16/2024

Medicare PECOS Information:

PECOS PAC ID: 2961735279
Enrollment ID: I20190531000184

Medical Identifiers

Medical identifiers for Taylor Sommerville Samela such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821360512	NPI	-	NPPES
004068284	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	009074 (Connecticut)	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. Taylor Sommerville Samela allows following entities to bill medicare on her behalf.

Entity Name	State Of Connecticut
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841225489 PECOS PAC ID: 8022915677 Enrollment ID: O20040319000427

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. Taylor Sommerville Samela 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
Taylor Sommerville Samela, 45 Gilbert St, Thomaston, CT 06787-1441 Ph: (203) 509-3458	Taylor Sommerville Samela, 1336 W Main St, Waterbury, CT 06708-3122 Ph: (860) 806-2516

Reviews and Comments

Social Worker in Waterbury, CT

Miss Jennifer Michele Sinclair, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 27 Visconti Ave, Waterbury, CT 06704 Phone: 203-232-8596
Patricia Ann Dupree-bautista, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 95 Thomaston Ave, Waterbury, CT 06702 Phone: 203-805-5383
Jennifer Giordano, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 55 West Main Street, Western Connecticut Mental Health Network Suite 410, Waterbury, CT 06702 Phone: 203-805-6408 Fax: 203-805-6432
Mr. Michael F Norton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 228 Meadow St, Waterbury, CT 06702 Phone: 203-597-0643 Fax: 203-597-0834
Mary Ann Rourke, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 95 Scovill St, 3rd Floor, Waterbury, CT 06706 Phone: 203-709-7081 Fax: 203-709-7754
Mrs. Ivelisse Soto, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 95 Thomaston Ave, Waterbury, CT 06702 Phone: 203-805-5378
Paula Zigman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 55 West Main Street, Suite 410 Western Connecticut Mental Health Network, Waterbury, CT 06702 Phone: 203-805-6408 Fax: 203-805-6432

Taylor Sommerville Samela, - Medicare Clinical Social Worker in Waterbury, CT