Marie Marguerite Sample, CNM in Providence, RI - Medicare Advanced Practice Midwife

Marie Marguerite Sample, CNM is a medicare enrolled "Advanced Practice Midwife" in Providence, Rhode Island. Her current practice location is 18 Imperial Pl Unit 2d, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 727-4800.

Marie Marguerite Sample is licensed to practice in Rhode Island (license number CNM00178) 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 1629185020.

Contact Information

	Marie Marguerite Sample, CNM
	18 Imperial Pl Unit 2d, Providence, RI 02903-4642
	(401) 727-4800
	Not Available

Map and Direction

Provider's Profile

Full Name	Marie Marguerite Sample
Gender	Female
Speciality	Advanced Practice Midwife
Location	18 Imperial Pl Unit 2d, Providence, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629185020
Provider Enumeration Date: 08/23/2006
Last Update Date: 08/15/2024

Medicare PECOS Information:

PECOS PAC ID: 6406912898
Enrollment ID: I20200505001848

Medical Identifiers

Medical identifiers for Marie Marguerite Sample such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629185020	NPI	-	NPPES
726695410A	Medicaid	GA
582369659	Other	GA	PRIVATE INS COMPANIES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	11987 (Tennessee)	Secondary
367A00000X	Advanced Practice Midwife	CNM00178 (Rhode Island)	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. Marie Marguerite Sample allows following entities to bill medicare on her behalf.

Entity Name	Affinity Physicians Llc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184944662 PECOS PAC ID: 0244413391 Enrollment ID: O20110326000053

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. Marie Marguerite Sample 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
Marie Marguerite Sample, CNM 455 Toll Gate Rd, Warwick, RI 02886-2759 Ph: (401) 273-0641	Marie Marguerite Sample, CNM 18 Imperial Pl Unit 2d, Providence, RI 02903-4642 Ph: (401) 727-4800

Reviews and Comments

Advanced Practice Midwife Nurses in Providence, RI

Mrs. Chelsea Caroline Webb Shea, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 148 W River St Ste 8, Providence, RI 02904 Phone: 401-606-3000 Fax: 401-331-8110
Elisabeth Davies Howard, MW Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 101 Dudley St, Providence, RI 02905 Phone: 401-274-1100
Chloe Kiritz, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 148 W River St Ste 5a, Providence, RI 02904 Phone: 401-606-3000 Fax: 401-331-8110
Sylvia P Ross, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 101 Dudley St, Providence, RI 02905 Phone: 401-274-1122 Fax: 401-453-7597
Mrs. Kelly Russell, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 18 Imperial Pl Unit 2d, Providence, RI 02903 Phone: 401-727-4800 Fax: 401-921-4800
Lynnette M Scolpino, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 235 Plain St, Sutie 401, Providence, RI 02905 Phone: 401-421-1710 Fax: 401-861-2164
Jennifer R. Sunderland, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1 Warren Way, Providence, RI 02905 Phone: 401-444-0530 Fax: 401-444-0423

Marie Marguerite Sample, CNM - Medicare Advanced Practice Midwife in Providence, RI