Miss Jennifer Samuel, PMHNP-BC - Medicare Nurse Practitioner in New York, NY

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Miss Jennifer Samuel, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in New York, New York. Her current practice location is 1111 Amsterdam Ave, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 523-4000.

Miss Jennifer Samuel is licensed to practice in Washington (license number AP61425969) 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 1689224578.

Contact Information

Miss Jennifer Samuel, PMHNP-BC
1111 Amsterdam Ave,
New York, NY 10025-1716
(212) 523-4000
Not Available

Map and Direction




Provider's Profile

Full NameMiss Jennifer Samuel
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1111 Amsterdam Ave, New York, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689224578
  • Provider Enumeration Date: 09/12/2019
  • Last Update Date: 09/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1759722754
  • Enrollment ID: I20240508001745

Medical Identifiers

Medical identifiers for Miss Jennifer Samuel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689224578NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 309303 (New York)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 10006786 (Oregon)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP61425969 (Washington)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. Miss Jennifer Samuel allows following entities to bill medicare on her behalf.
Entity NameSpectrum Mental Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356812614
PECOS PAC ID: 6103248851
Enrollment ID: O20200625000820

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. Miss Jennifer Samuel 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
Miss Jennifer Samuel, PMHNP-BC
1040 Westwood Rd,
Woodmere, NY 11598-1125

Ph: (516) 343-8802		Miss Jennifer Samuel, PMHNP-BC
1111 Amsterdam Ave,
New York, NY 10025-1716

Ph: (212) 523-4000

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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