Samantha Cannon Roberts, LCSW, LCDC is a medicare enrolled "Social Worker - Clinical" provider in Georgetown, Texas. Her current practice location is
1502 Blue Ridge Dr Ste 300, Georgetown, Texas. You can reach out to her office (for appointments etc.) via phone at
(512) 843-1154.
Samantha Cannon Roberts is licensed to practice in Texas (license number 105997) 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 1699535484.
Healthcare Provider's Profile
Full Name | Samantha Cannon Roberts |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1502 Blue Ridge Dr Ste 300, Georgetown, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1699535484
- Provider Enumeration Date: 03/20/2024
- Last Update Date: 03/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 0749628063
- Enrollment ID: I20240405001750
Medical Identifiers
Medical identifiers for Samantha Cannon Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699535484 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 16660 (Texas) | Secondary |
1041C0700X | Social Worker - Clinical | 105997 (Texas) | 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 Cannon Roberts allows following entities to bill medicare on her behalf.
Entity Name | Alliance Counseling Works Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619467305 PECOS PAC ID: 8325495500 Enrollment ID: O20231109000968 |
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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 Cannon Roberts 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 |
Samantha Cannon Roberts, LCSW, LCDC 1502 Blue Ridge Dr Ste 300, Georgetown, TX 78626-1002 Ph: (512) 843-1154 | Samantha Cannon Roberts, LCSW, LCDC 1502 Blue Ridge Dr Ste 300, Georgetown, TX 78626-1002 Ph: (512) 843-1154 |
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