Mary Andelle Samson, NP in Hartford, CT - Medicare Nurse Practitioner

Mary Andelle Samson, NP is a medicare enrolled "Nurse Practitioner" in Hartford, Connecticut. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hartford Healthcare Medical Group Inc, University Of Connecticut Health Center and her current practice location is 21 Grand St, Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 550-7500.

Mary Andelle Samson is licensed to practice in Maryland (license number R173837) 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 1801001128.

Contact Information

	Mary Andelle Samson, NP
	21 Grand St, Hartford, CT 06106-1541
	(860) 550-7500
	(860) 241-0890

Map and Direction

Provider's Profile

Full Name	Mary Andelle Samson
Gender	Female
Speciality	Nurse Practitioner
Experience	19 Years
Location	21 Grand St, Hartford, Connecticut
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:

Mary Andelle Samson graduated from nursing school in 2005

NPI Data:

NPI Number: 1801001128
Provider Enumeration Date: 05/11/2007
Last Update Date: 09/29/2022

Medicare PECOS Information:

PECOS PAC ID: 7416041777
Enrollment ID: I20150316000966

Medical Identifiers

Medical identifiers for Mary Andelle Samson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801001128	NPI	-	NPPES
013358200	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	3516 (Connecticut)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	3516 (Connecticut)	Secondary
363L00000X	Nurse Practitioner	R173837 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hartford Healthcare Medical Group Inc	1153573902	220
University Of Connecticut Health Center	3678472016	540

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. Mary Andelle Samson allows following entities to bill medicare on her behalf.

Entity Name	University Of Connecticut Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720083769 PECOS PAC ID: 3678472016 Enrollment ID: O20040106000105

Entity Name	Charter Oak Health Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992750855 PECOS PAC ID: 3870401078 Enrollment ID: O20040220000909

Entity Name	Hartford Healthcare Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043561301 PECOS PAC ID: 1153573902 Enrollment ID: O20121201000007

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. Mary Andelle Samson 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
Mary Andelle Samson, NP 21 Grand St, Hartford, CT 06106-1541 Ph: (860) 550-7500	Mary Andelle Samson, NP 21 Grand St, Hartford, CT 06106-1541 Ph: (860) 550-7500

Reviews and Comments

Nurse Practitioner Nurses in Hartford, CT

Caroline Clara Regan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 185 Asylum St, Hartford, CT 06103 Phone: 860-215-2117
Mrs. Brooke M P Chaves, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 114 Woodland St, Hartford, CT 06105 Phone: 860-714-4680
Jocelyn Calabro, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114 Woodland St, Hartford, CT 06105 Phone: 860-714-4000
Michael Brian Banik, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 80 Seymour St, Hartford, CT 06106 Phone: 860-545-5000
Deborah Mcgrath, APRN/FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Asylum Ave, Hartford, CT 06105 Phone: 860-714-4786
Marlo Derla, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114 Woodland St, Hartford, CT 06105 Phone: 860-714-0000
Audrey Bakanauskas, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 114 Woodland St, Cardiology, Hartford, CT 06105 Phone: 860-714-4161 Fax: 860-714-8001

Mary Andelle Samson, NP - Medicare Nurse Practitioner in Hartford, CT