Samantha E Fleischman, FNP is a medicare enrolled "Nurse Practitioner - Family" provider in New York, New York. Her current practice location is
314 W 14th St, New York, New York. You can reach out to her office (for appointments etc.) via phone at
(212) 620-0144.
Samantha E Fleischman is licensed to practice in New York (license number 341473) 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 1699053108.
Healthcare Provider's Profile
Full Name | Samantha E Fleischman |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 314 W 14th St, New York, New York |
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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: 1699053108
- Provider Enumeration Date: 08/01/2011
- Last Update Date: 02/17/2017
Medicare PECOS Information:
- PECOS PAC ID: 3274896980
- Enrollment ID: I20180411001072
Medical Identifiers
Medical identifiers for Samantha E Fleischman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699053108 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 6458 (New Mexico) | Secondary |
363LF0000X | Nurse Practitioner - Family | 341473 (New York) | 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 E Fleischman allows following entities to bill medicare on her behalf.
Provider Name | Gotham Medical Group Llp |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1124320056 PECOS PAC ID: 2062694979 Enrollment ID: O20110315000150 |
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Provider Name | Montefiore Nyack Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1073881835 PECOS PAC ID: 2668485046 Enrollment ID: O20120216000200 |
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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 E Fleischman 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 E Fleischman, FNP 188 S Broadway, Nyack, NY 10960-4423 Ph: (505) 670-0997 | Samantha E Fleischman, FNP 314 W 14th St, New York, NY 10014-5002 Ph: (212) 620-0144 |
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