Mrs Samantha Ann Undari-schwartz, NP is a medicare enrolled "Clinical Nurse Specialist - Adult Health" in Bay Shore, New York. Her current practice location is
301 E Main St, Bay Shore, New York. You can reach out to her office (for appointments etc.) via phone at
(516) 330-1578.
Mrs Samantha Ann Undari-schwartz is licensed to practice in New York (license number 306519) 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 1912347428.
Provider's Profile
| Full Name | Mrs Samantha Ann Undari-schwartz |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Adult Health |
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| Location | 301 E Main St, Bay Shore, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1912347428
- Provider Enumeration Date: 06/28/2013
- Last Update Date: 06/28/2013
Medicare PECOS Information:
- PECOS PAC ID: 5193957413
- Enrollment ID: I20140418000705
Medical Identifiers
Medical identifiers for Mrs Samantha Ann Undari-schwartz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912347428 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SA2200X | Clinical Nurse Specialist - Adult Health | 306519 (New York) | 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. Mrs Samantha Ann Undari-schwartz allows following entities to bill medicare on her behalf.
| Entity Name | Physical Medicine & Rehabilitation Of Long Island |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003293366
PECOS PAC ID: 4486966157
Enrollment ID: O20150709000313 |
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| Entity Name | Olaf Butchma Do Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164054524
PECOS PAC ID: 5597183244
Enrollment ID: O20200914000864 |
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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. Mrs Samantha Ann Undari-schwartz 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 |
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Mrs Samantha Ann Undari-schwartz, NP
Po Box 433,
Massapequa, NY 11758-0433
Ph: (516) 330-1578 | Mrs Samantha Ann Undari-schwartz, NP
301 E Main St,
Bay Shore, NY 11706-8408
Ph: (516) 330-1578 |
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