Samantha C Cunningham, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Brooklyn, New York. Her current practice location is
134 N 4th St, Brooklyn, New York. You can reach out to her office (for appointments etc.) via phone at
(646) 450-7748.
Samantha C Cunningham is licensed to practice in Oregon (license number L7991) 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 1386195139.
Healthcare Provider's Profile
| Full Name | Samantha C Cunningham |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 134 N 4th St, Brooklyn, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1386195139
- Provider Enumeration Date: 10/17/2016
- Last Update Date: 07/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 6608119805
- Enrollment ID: I20190509001641
Medical Identifiers
Medical identifiers for Samantha C Cunningham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386195139 | NPI | - | NPPES |
| 500717085 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | LH60630652 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW61371985 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | L7991 (Oregon) | 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 C Cunningham allows following entities to bill medicare on her behalf.
| Entity Name | Catholic Charities |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144684663
PECOS PAC ID: 9830434018
Enrollment ID: O20181217000457 |
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| Entity Name | Valera Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437782349
PECOS PAC ID: 0547690521
Enrollment ID: O20220822001768 |
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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 C Cunningham 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 |
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Samantha C Cunningham, LCSW
134 N 4th St,
Brooklyn, NY 11249-3296
Ph: (646) 450-7748 | Samantha C Cunningham, LCSW
134 N 4th St,
Brooklyn, NY 11249-3296
Ph: (646) 450-7748 |
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