Allyson Sambach, DNP, PMHNP-BC - Medicare Nurse Practitioner in Glendale, AZ

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Allyson Sambach, DNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Glendale, Arizona. Her current practice location is 11851 N 51st Ave Ste F140, Glendale, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 882-4545.

Allyson Sambach is licensed to practice in Arizona (license number 240171) 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 1750910337.

Contact Information

Allyson Sambach, DNP, PMHNP-BC
11851 N 51st Ave Ste F140,
Glendale, AZ 85304-2847
(480) 882-4545
(623) 242-1314

Map and Direction




Provider's Profile

Full NameAllyson Sambach
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location11851 N 51st Ave Ste F140, Glendale, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750910337
  • Provider Enumeration Date: 04/05/2020
  • Last Update Date: 10/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0648690032
  • Enrollment ID: I20201023002993

Medical Identifiers

Medical identifiers for Allyson Sambach such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750910337NPI-NPPES
005674MedicaidAZ
240171OtherAZLICENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 240171 (Arizona)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. Allyson Sambach allows following entities to bill medicare on her behalf.
Entity NameNeighborhood Outreach Access To Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942518550
PECOS PAC ID: 3577743764
Enrollment ID: O20110204000504
Entity NameSouthwestern Childrens Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578951448
PECOS PAC ID: 3072742279
Enrollment ID: O20200511000585

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. Allyson Sambach 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
Allyson Sambach, DNP, PMHNP-BC
7500 N Dreamy Draw Dr Ste 145,
Phoenix, AZ 85020-4668

Ph: (480) 882-4545		Allyson Sambach, DNP, PMHNP-BC
11851 N 51st Ave Ste F140,
Glendale, AZ 85304-2847

Ph: (480) 882-4545

Reviews and Comments


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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.

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