Mrs Samantha Elaine Golden, LMHC, NCC, CCTP in Brockport, NY

Mrs Samantha Elaine Golden, LMHC, NCC, CCTP is a medicare enrolled "Counselor - Mental Health" provider in Brockport, New York. Her current practice location is 13 Water St Ste 3, Brockport, New York. You can reach out to her office (for appointments etc.) via phone at (585) 590-4463.

Mrs Samantha Elaine Golden is licensed to practice in New York (license number 009562-1) 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 1336703859.

Contact Information

	Mrs Samantha Elaine Golden, LMHC, NCC, CCTP
	13 Water St Ste 3, Brockport, NY 14420-1964
	(585) 590-4463
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Samantha Elaine Golden
Gender	Female
Speciality	Counselor - Mental Health
Location	13 Water St Ste 3, Brockport, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336703859
Provider Enumeration Date: 04/30/2019
Last Update Date: 06/29/2023

Medicare PECOS Information:

PECOS PAC ID: 5496198244
Enrollment ID: I20240208001391

Medical Identifiers

Medical identifiers for Mrs Samantha Elaine Golden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336703859	NPI	-	NPPES
1346634151	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	009562-1 (New York)	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. Mrs Samantha Elaine Golden allows following entities to bill medicare on her behalf.

Entity Name	Psychological Healthcare Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922109578 PECOS PAC ID: 7416860572 Enrollment ID: O20040317000828

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. Mrs Samantha Elaine Golden 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
Mrs Samantha Elaine Golden, LMHC, NCC, CCTP 13 Water St Ste 3, Brockport, NY 14420-1964 Ph: (585) 590-4463	Mrs Samantha Elaine Golden, LMHC, NCC, CCTP 13 Water St Ste 3, Brockport, NY 14420-1964 Ph: (585) 590-4463

Reviews and Comments

Counselor in Brockport, NY

Erich Montfort, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8055 W Canal Rd, Brockport, NY 14420 Phone: 585-353-2150
Ms. Barbara K Shulla, LMHC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3148 Lake Rd N, Brockport, NY 14420 Phone: 585-314-0357
Erwin Mckenzie, Counselor Medicare: Not Enrolled in Medicare Practice Location: 193 Calebs Trl, Brockport, NY 14420 Phone: 940-337-5693
Dr. Tamara Sullivan, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4107 Lake Rd N, Brockport, NY 14420 Phone: 585-329-7853
Marissa Lee Douglas, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 300 West Ave, Brockport, NY 14420 Phone: 585-637-3905
Hayley Mandel, Counselor Medicare: Medicare Enrolled Practice Location: 300 West Ave Ste 900, Brockport, NY 14420 Phone: 585-637-3905 Fax: 585-637-2375

Mrs Samantha Elaine Golden, LMHC, NCC, CCTP - Medicare Counselor in Brockport, NY