Mrs Samantha Burnham Ingerick, NP - Medicare Nurse Practitioner in Manchester, VT

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Mrs Samantha Burnham Ingerick, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Manchester, Vermont. Her current practice location is 4384 Main Street, Manchester, Vermont. You can reach out to her office (for appointments etc.) via phone at (802) 768-9136.

Mrs Samantha Burnham Ingerick is licensed to practice in Vermont (license number 101.0134299) 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 1457750234.

Contact Information

Mrs Samantha Burnham Ingerick, NP
4384 Main Street,
Manchester, VT 05254-9207
(802) 768-9136
(802) 662-2173

Map and Direction




Provider's Profile

Full NameMrs Samantha Burnham Ingerick
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location4384 Main Street, Manchester, Vermont
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457750234
  • Provider Enumeration Date: 08/18/2014
  • Last Update Date: 10/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1658628581
  • Enrollment ID: I20230919000676

Medical Identifiers

Medical identifiers for Mrs Samantha Burnham Ingerick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457750234NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics F382385-1 (New York)Secondary
363LP0200XNurse Practitioner - Pediatrics 088196-23 (New Hampshire)Secondary
363LP0200XNurse Practitioner - Pediatrics 101.0134299 (Vermont)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 Burnham Ingerick allows following entities to bill medicare on her behalf.
Entity NameWindsor Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841287984
PECOS PAC ID: 2860387214
Enrollment ID: O20040216001074

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 Burnham Ingerick 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
Mrs Samantha Burnham Ingerick, NP
Po Box 255,
Manchester, VT 05254-0255

Ph: (802) 768-9136		Mrs Samantha Burnham Ingerick, NP
4384 Main Street,
Manchester, VT 05254-9207

Ph: (802) 768-9136

Reviews and Comments


Nurse Practitioner Nurses in Manchester, VT

Marion Miller-rumney, F.N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3869 Main St., Manchester, VT 05254
Phone: 802-362-1121    Fax: 802-362-9121
Mr. Donald Henry Grenier Jr., MSN, PMHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4384 Main Street, Manchester, VT 05254
Phone: 802-768-9136    

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.