Miss Samantha Disantis, APN in Mullica Hill, NJ

Miss Samantha Disantis, APN is a medicare enrolled "Nurse Practitioner - Family" in Mullica Hill, New Jersey. Her current practice location is 141 Bridgeton Pike Unit B, Mullica Hill, New Jersey. You can reach out to her office (for appointments etc.) via phone at (856) 291-8600.

Miss Samantha Disantis is licensed to practice in New Jersey (license number 26NJ00595500) 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 1629448493.

Contact Information

	Miss Samantha Disantis, APN
	141 Bridgeton Pike Unit B, Mullica Hill, NJ 08062-2615
	(856) 291-8600
	(856) 291-8610

Map and Direction

Provider's Profile

Full Name	Miss Samantha Disantis
Gender	Female
Speciality	Nurse Practitioner - Family
Location	141 Bridgeton Pike Unit B, Mullica Hill, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629448493
Provider Enumeration Date: 10/05/2015
Last Update Date: 11/13/2024

Medicare PECOS Information:

PECOS PAC ID: 6103113741
Enrollment ID: I20160924000245

Medical Identifiers

Medical identifiers for Miss Samantha Disantis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629448493	NPI	-	NPPES
0550566	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	26NR1252700 (New Jersey)	Secondary
363LF0000X	Nurse Practitioner - Family	26NJ00595500 (New Jersey)	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 Samantha Disantis allows following entities to bill medicare on her behalf.

Entity Name	Virtua Medical Group, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338

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 Samantha Disantis 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
Miss Samantha Disantis, APN Po Box 7776, Lancaster, PA 17601 Ph: (888) 985-2727	Miss Samantha Disantis, APN 141 Bridgeton Pike Unit B, Mullica Hill, NJ 08062-2615 Ph: (856) 291-8600

Reviews and Comments

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Heather Lynn Carpenito, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 698 Mullica Hill Rd Ste 330, Mullica Hill, NJ 08062 Phone: 856-845-3707
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Mr. Charles Mcglade, MSN, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Tomlin Station Rd, Mullica Hill, NJ 08062 Phone: 856-241-2500

Miss Samantha Disantis, APN - Medicare Nurse Practitioner in Mullica Hill, NJ