Samantha Jo Atwood, LCMHC in Roosevelt, UT - Medicare Counselor Provider

Samantha Jo Atwood, LCMHC is a medicare enrolled "Counselor - Mental Health" provider in Roosevelt, Utah. Her current practice location is 285 W 800 S, Roosevelt, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 725-6300.

Samantha Jo Atwood 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 1083954291.

Contact Information

	Samantha Jo Atwood, LCMHC
	285 W 800 S, Roosevelt, UT 84066-3707
	(435) 725-6300
	(435) 725-6325

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Jo Atwood
Gender	Female
Speciality	Counselor - Mental Health
Location	285 W 800 S, Roosevelt, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083954291
Provider Enumeration Date: 02/25/2013
Last Update Date: 02/05/2019

Medicare PECOS Information:

PECOS PAC ID: 9032554720
Enrollment ID: I20240304004032

Medical Identifiers

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

Identifier	Type	State	Issuer
1083954291	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 Jo Atwood allows following entities to bill medicare on her behalf.

Entity Name	Uintah Basin Tri-county Mental Health And Substance Abuse Local Author
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891873121 PECOS PAC ID: 9133183072 Enrollment ID: O20041119000092

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 Jo Atwood 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 Jo Atwood, LCMHC 285 W 800 S, Roosevelt, UT 84066-3707 Ph: (435) 725-6300	Samantha Jo Atwood, LCMHC 285 W 800 S, Roosevelt, UT 84066-3707 Ph: (435) 725-6300

Reviews and Comments

Counselor in Roosevelt, UT

Mr. Christopher Timbrell Oborn, MS, LCMHC, CCT-P,NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1472 N Page Bench Rd, Roosevelt, UT 84066 Phone: 385-441-4237
Rochelle L Danley, Counselor Medicare: Medicare Enrolled Practice Location: 285 W 800 S, Roosevelt, UT 84066 Phone: 435-725-6300 Fax: 435-725-6325
Beverly Berrett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 285 W 800 S, Roosevelt, UT 84066 Phone: 435-725-6300 Fax: 435-725-6325
Michele Catten, CSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 285 W 800 S, Roosevelt, UT 84066 Phone: 435-725-6300
Jason Norman, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 285 W 800 S, Roosevelt, UT 84066 Phone: 435-725-6300 Fax: 435-725-6325
Leslie R Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 285 W 800 S, Roosevelt, UT 84066 Phone: 435-725-6300 Fax: 435-725-6325

Samantha Jo Atwood, LCMHC - Medicare Counselor in Roosevelt, UT