Samantha Kurtenbach, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Colorado Springs, Colorado. Her current practice location is
7870 Conifer Dr, Colorado Springs, Colorado. You can reach out to her office (for appointments etc.) via phone at
(224) 402-0981.
Samantha Kurtenbach is licensed to practice in Colorado (license number CSW.09928795) 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 1780396341.
Healthcare Provider's Profile
Full Name | Samantha Kurtenbach |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 7870 Conifer Dr, Colorado Springs, Colorado |
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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: 1780396341
- Provider Enumeration Date: 12/14/2022
- Last Update Date: 08/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 2466816012
- Enrollment ID: I20230914002285
Medical Identifiers
Medical identifiers for Samantha Kurtenbach such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780396341 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | CSW.09928795 (Colorado) | 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 Kurtenbach allows following entities to bill medicare on her behalf.
Entity Name | Diversus Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043260243 PECOS PAC ID: 7719879204 Enrollment ID: O20040329000837 |
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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 Kurtenbach 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 Kurtenbach, LCSW 7870 Conifer Dr, Colorado Springs, CO 80920-4526 Ph: (224) 402-0981 | Samantha Kurtenbach, LCSW 7870 Conifer Dr, Colorado Springs, CO 80920-4526 Ph: (224) 402-0981 |
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