Samantha N Cordum, MD in Verona, WI

Samantha N Cordum, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Verona, Wisconsin. Her current practice location is 301 Cross Oak Dr Unit 5, Verona, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (208) 608-4299.

Samantha N Cordum is licensed to practice in Wisconsin (license number 1745) 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 1679102503.

Contact Information

	Samantha N Cordum, MD
	301 Cross Oak Dr Unit 5, Verona, WI 53593-9074
	(208) 608-4299
	Not Available

Map and Direction

Physician's Profile

Full Name	Samantha N Cordum
Gender	Female
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	301 Cross Oak Dr Unit 5, Verona, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679102503
Provider Enumeration Date: 04/02/2020
Last Update Date: 09/23/2024

Medicare PECOS Information:

PECOS PAC ID: 1355764325
Enrollment ID: I20230717001258

Medical Identifiers

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

Identifier	Type	State	Issuer
1679102503	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	2024-01575 (North Carolina)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	1745 (Wisconsin)	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 N Cordum allows following entities to bill medicare on her behalf.

Entity Name	University Of Wisconsin Medical Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435

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 N Cordum 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 N Cordum, MD 301 Cross Oak Dr Unit 5, Verona, WI 53593-9074 Ph: (208) 608-4299	Samantha N Cordum, MD 301 Cross Oak Dr Unit 5, Verona, WI 53593-9074 Ph: (208) 608-4299

Reviews and Comments

Pediatrics Doctors in Verona, WI

Kathleen A Desantes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3906 Caribou Rd, Verona, WI 53593 Phone: 608-829-2855
Kenneth B Desantes, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3906 Caribou Rd, Verona, WI 53593 Phone: 608-886-7300
Mary K Schroth, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9606 Shadow Wood Dr, Verona, WI 53593 Phone: 608-219-8914

Samantha N Cordum, MD - Medicare Pediatrics in Verona, WI