Ruth Sampson-pilgrim, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Balacynwood, Pennsylvania. Her current practice location is
160 Rock Hill Road, Vista Medical Services,, Balacynwood, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(610) 674-5008.
Ruth Sampson-pilgrim is licensed to practice in Pennsylvania (license number SP025224) 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 1295181717.
Provider's Profile
| Full Name | Ruth Sampson-pilgrim |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 160 Rock Hill Road, Balacynwood, Pennsylvania |
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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: 1295181717
- Provider Enumeration Date: 05/13/2016
- Last Update Date: 01/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 1456641315
- Enrollment ID: I20160606000235
Medical Identifiers
Medical identifiers for Ruth Sampson-pilgrim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1295181717 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | SP015797 (Pennsylvania) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP025224 (Pennsylvania) | 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. Ruth Sampson-pilgrim allows following entities to bill medicare on her behalf.
| Entity Name | Vista Medical Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659452027
PECOS PAC ID: 5597743344
Enrollment ID: O20040709000144 |
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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. Ruth Sampson-pilgrim 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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Ruth Sampson-pilgrim,
631 Orchard Ave,
Langhorne, PA 19047-3129
Ph: (215) 752-6725 | Ruth Sampson-pilgrim,
160 Rock Hill Road, Vista Medical Services,,
Balacynwood, PA 19004
Ph: (610) 674-5008 |
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