Samantha Rae Didomenico, DDS - Medicare Dentist in Las Animas, CO

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Samantha Rae Didomenico, DDS is a medicare enrolled "Dentist - General Practice" provider in Las Animas, Colorado. Her current practice location is 245 Vine Ave, Las Animas, Colorado. You can reach out to her office (for appointments etc.) via phone at (719) 456-2653.

Samantha Rae Didomenico is licensed to practice in Colorado (license number 202930) 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 1891241527.

Contact Information

Samantha Rae Didomenico, DDS
245 Vine Ave,
Las Animas, CO 81054
(719) 456-2653
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameSamantha Rae Didomenico
GenderFemale
SpecialityDentist - General Practice
Location245 Vine Ave, Las Animas, Colorado
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891241527
  • Provider Enumeration Date: 09/01/2016
  • Last Update Date: 06/05/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2062790173
  • Enrollment ID: I20191121001858

Medical Identifiers

Medical identifiers for Samantha Rae Didomenico such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891241527NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 202930 (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 Rae Didomenico allows following entities to bill medicare on her behalf.
Entity NamePeak Vista Community Health Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730166034
PECOS PAC ID: 4688583974
Enrollment ID: O20031110000337

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 Rae Didomenico 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 AddressPractice Location Address
Samantha Rae Didomenico, DDS
1119 W 11th St,
La Junta, CO 81050-2608

Ph: (972) 672-4468		Samantha Rae Didomenico, DDS
245 Vine Ave,
Las Animas, CO 81054

Ph: (719) 456-2653

Reviews and Comments


Dentist in Las Animas, CO


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.