Samantha Divietro, in Poughkeepsie, NY - Medicare Counselor Provider

Samantha Divietro, is a medicare enrolled "Counselor - Mental Health" provider in Poughkeepsie, New York. Her current practice location is 230 North Rd, Poughkeepsie, New York. You can reach out to her office (for appointments etc.) via phone at (845) 486-2703.

Samantha Divietro is licensed to practice in New York (license number 009481-01) 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 1497263131.

Contact Information

	Samantha Divietro,
	230 North Rd, Poughkeepsie, NY 12601-1328
	(845) 486-2703
	(845) 625-1679

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Divietro
Gender	Female
Speciality	Counselor - Mental Health
Location	230 North Rd, Poughkeepsie, 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: 1497263131
Provider Enumeration Date: 01/16/2018
Last Update Date: 05/22/2023

Medicare PECOS Information:

PECOS PAC ID: 2163954298
Enrollment ID: I20241015001069

Medical Identifiers

Medical identifiers for Samantha Divietro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497263131	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	009481-01 (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. Samantha Divietro allows following entities to bill medicare on her behalf.

Entity Name	Sun River Health Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568526838 PECOS PAC ID: 6608783568 Enrollment ID: O20040714000375

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 Divietro 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 Divietro, 230 North Rd, Poughkeepsie, NY 12601-1328 Ph: (845) 486-2703	Samantha Divietro, 230 North Rd, Poughkeepsie, NY 12601-1328 Ph: (845) 486-2703

Reviews and Comments

Counselor in Poughkeepsie, NY

Miss Carole Rumble, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 412 Main St, Poughkeepsie, NY 12601 Phone: 845-486-8880 Fax: 845-486-8885
Mrs. Meleah Dement, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 230 North Rd, Poughkeepsie, NY 12601 Phone: 845-486-2850 Fax: 845-486-2770
Joan Masotti, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 Fallkill Pl, Poughkeepsie, NY 12601 Phone: 845-245-7176
Barbara Lara, Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 North Rd, Poughkeepsie, NY 12601 Phone: 845-485-9700
Kaleigh Acquah, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 North Rd, Poughkeepsie, NY 12601 Phone: 845-486-3683
Kathleen Cohen, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 41 Page Park Dr, Poughkeepsie, NY 12603 Phone: 845-486-2950 Fax: 845-486-2999
Allyson Nicole Antonacci, Counselor Medicare: Medicare Enrolled Practice Location: 230 North Rd, Poughkeepsie, NY 12601 Phone: 845-486-2703

Samantha Divietro, - Medicare Counselor in Poughkeepsie, NY