Samantha J Schaefer, LCSW, CSAC is a medicare enrolled "Social Worker - Clinical" provider in Fond Du Lac, Wisconsin. Her current practice location is
430 E Division St, Fond Du Lac, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 929-2300.
Samantha J Schaefer is licensed to practice in Wisconsin (license number 10174-123) 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 1164077178.
Healthcare Provider's Profile
| Full Name | Samantha J Schaefer |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 430 E Division St, Fond Du Lac, Wisconsin |
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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: 1164077178
- Provider Enumeration Date: 08/06/2019
- Last Update Date: 03/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 1557792231
- Enrollment ID: I20200513000878
Medical Identifiers
Medical identifiers for Samantha J Schaefer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164077178 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 18368 (Wisconsin) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 16658-132 (Wisconsin) | Secondary |
| 104100000X | Social Worker | 131353 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 10174-123 (Wisconsin) | 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 J Schaefer allows following entities to bill medicare on her behalf.
| Entity Name | Red Oak Counseling Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609890391
PECOS PAC ID: 5294704334
Enrollment ID: O20040927000490 |
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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 J Schaefer 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 J Schaefer, LCSW, CSAC
420 E Division St,
Fond Du Lac, WI 54935-4560
Ph: (920) 926-8343 | Samantha J Schaefer, LCSW, CSAC
430 E Division St,
Fond Du Lac, WI 54935-4560
Ph: (920) 929-2300 |
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