Ms Samantha Gwen Lee, LMSW, LASAC is a medicare enrolled "Social Worker - Clinical" provider in Fort Defiance, Arizona. Her current practice location is
Corner Of Route N12 And N7, Fort Defiance, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 729-8000.
Ms Samantha Gwen Lee is licensed to practice in Arizona (license number 16048) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1396915542.
Healthcare Provider's Profile
Full Name | Ms Samantha Gwen Lee |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | Corner Of Route N12 And N7, Fort Defiance, Arizona |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ms Samantha Gwen Lee attended and graduated from in
NPI Data:
- NPI Number: 1396915542
- Provider Enumeration Date: 03/04/2008
- Last Update Date: 10/03/2016
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ms Samantha Gwen Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396915542 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 13084 (Arizona) | Secondary |
104100000X | Social Worker | 11643 (Arizona) | Secondary |
1041C0700X | Social Worker - Clinical | 16048 (Arizona) | Primary |
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. Ms Samantha Gwen Lee 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 |
Ms Samantha Gwen Lee, LMSW, LASAC Po Box 589, Fort Defiance, AZ 86504-0589 Ph: (928) 729-8500 | Ms Samantha Gwen Lee, LMSW, LASAC Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Ph: (928) 729-8000 |
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