Samantha Rose Witte, is a medicare enrolled "Surgery" physician in Broomall, Pennsylvania. She went to Jefferson Medical College Of Thomas Jefferson University and graduated in 2013 and has 11 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Main Line Healthcare and her current practice location is
1991 Sproul Rd Ste 625, Broomall, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(610) 325-0309.
Samantha Rose Witte is licensed to practice in Pennsylvania (license number MD464112) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1457694762.
Physician's Profile
Full Name | Samantha Rose Witte |
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Gender | Female |
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Speciality | General Surgery |
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Experience | 11 Years |
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Location | 1991 Sproul Rd Ste 625, Broomall, Pennsylvania |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Samantha Rose Witte attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 2013
NPI Data:
- NPI Number: 1457694762
- Provider Enumeration Date: 04/04/2013
- Last Update Date: 09/04/2019
Medicare PECOS Information:
- PECOS PAC ID: 5890042287
- Enrollment ID: I20180717000212
Medical Identifiers
Medical identifiers for Samantha Rose Witte such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457694762 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | MD464112 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Main Line Healthcare | 1951215201 | 907 |
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 Rose Witte allows following entities to bill medicare on her behalf.
Entity Name | The Milton S Hershey Medical Center Physicians Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710951744 PECOS PAC ID: 3870405483 Enrollment ID: O20040225000741 |
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Entity Name | Main Line Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373 |
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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 Rose Witte 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 Rose Witte, 3803 W Chester Pike Ste 160, Newtown Square, PA 19073-2336 Ph: (484) 337-1601 | Samantha Rose Witte, 1991 Sproul Rd Ste 625, Broomall, PA 19008 Ph: (610) 325-0309 |
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