Samantha Wathen, in Raleigh, NC - Medicare Counselor Provider

Samantha Wathen, is a medicare enrolled "Counselor - Mental Health" provider in Raleigh, North Carolina. Her current practice location is 8512 Six Forks Rd Ste 101, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 277-0253.

Samantha Wathen is licensed to practice in North Carolina (license number 13506) 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 1629426754.

Contact Information

	Samantha Wathen,
	8512 Six Forks Rd Ste 101, Raleigh, NC 27615-3256
	(919) 277-0253
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Wathen
Gender	Female
Speciality	Counselor - Mental Health
Location	8512 Six Forks Rd Ste 101, Raleigh, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629426754
Provider Enumeration Date: 05/31/2016
Last Update Date: 04/02/2021

Medicare PECOS Information:

PECOS PAC ID: 8325499353
Enrollment ID: I20240104000059

Medical Identifiers

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

Identifier	Type	State	Issuer
1629426754	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	A13506 (North Carolina)	Secondary
101YM0800X	Counselor - Mental Health	13506 (North Carolina)	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 Wathen allows following entities to bill medicare on her behalf.

Entity Name	Mindly Group, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306196944 PECOS PAC ID: 3072744028 Enrollment ID: O20140317000413

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 Wathen 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 Wathen, 211 Loft Ln Apt 94, Raleigh, NC 27609-3887 Ph: (919) 609-0123	Samantha Wathen, 8512 Six Forks Rd Ste 101, Raleigh, NC 27615-3256 Ph: (919) 277-0253

Reviews and Comments

Counselor in Raleigh, NC

Mr. Duncan Njaramba Kihoro, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8211 Willowglen Dr, Raleigh, NC 27616 Phone: 919-266-7784
Susan L Dowd, MSW, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4021 Bella Park Trl Apt 418, Raleigh, NC 27613 Phone: 919-798-3419
Jeffrey Alan Simms, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8512 Six Forks Rd Ste 101, Raleigh, NC 27615 Phone: 919-277-0253 Fax: 833-449-5270
James Treires, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 5509 Creedmoor Rd, Raleigh, NC 27612 Phone: 919-573-6520 Fax: 919-573-6555
Kimberly Hope Brandon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6516 Falls Of Neuse Rd Ste 110, Raleigh, NC 27615 Phone: 919-423-2310
Mr. Gabriel Rosenboro, BS CRIMINAL JUSTICE Counselor Medicare: Not Enrolled in Medicare Practice Location: 4400 Old Poole Rd, Raleigh, NC 27610 Phone: 919-268-9660
Victoria Baxter, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 39 Red Ln, Raleigh, NC 27606 Phone: 706-836-1713

Samantha Wathen, - Medicare Counselor in Raleigh, NC