Dr Bebi Samantha Bacchus, MD is a medicare enrolled "Pediatrics" physician in Woolwich Twp, New Jersey. Her current practice location is
300 Lexington Rd, Bldg B, Ste 200, Woolwich Twp, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(856) 241-2111.
Dr Bebi Samantha Bacchus is licensed to practice in New Jersey (license number 25MA06709200) 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 1689606915.
Physician's Profile
| Full Name | Dr Bebi Samantha Bacchus |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 300 Lexington Rd, Woolwich Twp, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1689606915
- Provider Enumeration Date: 07/07/2006
- Last Update Date: 08/25/2011
Medicare PECOS Information:
- PECOS PAC ID: 5991712473
- Enrollment ID: I20230510000596
Medical Identifiers
Medical identifiers for Dr Bebi Samantha Bacchus such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1689606915 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 0101239333 (Virginia) | Secondary |
| 208000000X | Pediatrics | 25MA06709200 (New Jersey) | 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. Dr Bebi Samantha Bacchus allows following entities to bill medicare on her behalf.
| Entity Name | Florida Clinical Practice Association Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063463768
PECOS PAC ID: 0345146254
Enrollment ID: O20031211000099 |
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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. Dr Bebi Samantha Bacchus 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 |
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Dr Bebi Samantha Bacchus, MD
402 Lippincott Dr,
Marlton, NJ 08053-4112
Ph: (856) 782-3300 | Dr Bebi Samantha Bacchus, MD
300 Lexington Rd, Bldg B, Ste 200,
Woolwich Twp, NJ 08085-1278
Ph: (856) 241-2111 |
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