Samantha Faith Kopack, LCPC in Portland, ME - Medicare Counselor Provider

Samantha Faith Kopack, LCPC is a medicare enrolled "Counselor - Mental Health" provider in Portland, Maine. Her current practice location is 901 Washington Ave Ste 100, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 871-1200.

Samantha Faith Kopack is licensed to practice in * (Not Available) (license number ) 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 1740566744.

Contact Information

	Samantha Faith Kopack, LCPC
	901 Washington Ave Ste 100, Portland, ME 04103-2842
	(207) 871-1200
	(207) 871-1232

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Faith Kopack
Gender	Female
Speciality	Counselor - Mental Health
Location	901 Washington Ave Ste 100, Portland, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740566744
Provider Enumeration Date: 10/24/2011
Last Update Date: 06/13/2023

Medicare PECOS Information:

PECOS PAC ID: 7012360118
Enrollment ID: I20240125000138

Medical Identifiers

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

Identifier	Type	State	Issuer
1740566744	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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 Faith Kopack allows following entities to bill medicare on her behalf.

Entity Name	Spurwink Services Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760507297 PECOS PAC ID: 7810026945 Enrollment ID: O20100527000272

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 Faith Kopack 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 Faith Kopack, LCPC 901 Washington Ave Ste 100, Portland, ME 04103-2842 Ph: (207) 871-1200	Samantha Faith Kopack, LCPC 901 Washington Ave Ste 100, Portland, ME 04103-2842 Ph: (207) 871-1200

Reviews and Comments

Counselor in Portland, ME

Maria A Moustrouphis, LCSW, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 77 Vermont Ave, Portland, ME 04103 Phone: 207-409-9487
Katherine P Whittemore, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 1050 Forest Ave, Portland, ME 04103 Phone: 207-242-0443
Scott W. Hutcherson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 Lancaster St, Portland, ME 04101 Phone: 207-874-1030 Fax: 207-874-1044
Emily-anne Garland, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 576 Saint John St, Portland, ME 04102 Phone: 207-780-0020 Fax: 207-780-0022
Michael H Freeman, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 250 Anderson St, Portland, ME 04101 Phone: 207-775-5671 Fax: 207-871-1243
David R Arnold, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 44 Exchange St, Portland, ME 04101 Phone: 207-209-5067
Rani Wilson, LCPC-CC Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Washington Ave Ste 100, Portland, ME 04103 Phone: 207-871-1200 Fax: 207-871-1232

Samantha Faith Kopack, LCPC - Medicare Counselor in Portland, ME