Samantha Jo Devine, MA, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Fenton, Missouri. Her current practice location is
5 Premier Dr Ste 200, Fenton, Missouri. You can reach out to her office (for appointments etc.) via phone at
(314) 544-3800.
Samantha Jo Devine is licensed to practice in Missouri (license number 2017026551) 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 1669021457.
Healthcare Provider's Profile
Full Name | Samantha Jo Devine |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 5 Premier Dr Ste 200, Fenton, Missouri |
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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: 1669021457
- Provider Enumeration Date: 09/05/2019
- Last Update Date: 07/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 5193176683
- Enrollment ID: I20240109003138
Medical Identifiers
Medical identifiers for Samantha Jo Devine such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669021457 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 2017026551 (Missouri) | 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 Devine allows following entities to bill medicare on her behalf.
Entity Name | St Louis Counseling, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053397133 PECOS PAC ID: 7214901289 Enrollment ID: O20040907000813 |
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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 Jo Devine 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 Devine, MA, LMFT 5 Premier Dr Ste 200, Fenton, MO 63026-2943 Ph: (314) 544-3800 | Samantha Jo Devine, MA, LMFT 5 Premier Dr Ste 200, Fenton, MO 63026-2943 Ph: (314) 544-3800 |
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