Samantha Teach, in Detroit, MI - Medicare Nurse Practitioner

Samantha Teach, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Detroit, Michigan. Her current practice location is 3901 Chrysler Dr Ste 3b, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 577-1396.

Samantha Teach is licensed to practice in Michigan (license number 2022064500) 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 1366047250.

Contact Information

	Samantha Teach,
	3901 Chrysler Dr Ste 3b, Detroit, MI 48201-2167
	(313) 577-1396
	Not Available

Map and Direction

Provider's Profile

Full Name	Samantha Teach
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3901 Chrysler Dr Ste 3b, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366047250
Provider Enumeration Date: 12/01/2020
Last Update Date: 04/03/2024

Medicare PECOS Information:

PECOS PAC ID: 1052782992
Enrollment ID: I20230201000135

Medical Identifiers

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

Identifier	Type	State	Issuer
1366047250	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	2022064500 (Michigan)	Primary
163W00000X	Registered Nurse	4704348939 (Michigan)	Secondary

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. Samantha Teach allows following entities to bill medicare on her behalf.

Entity Name	Neighborhood Service Organization
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891825808 PECOS PAC ID: 7113907387 Enrollment ID: O20040720001455

Entity Name	University Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518

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. Samantha Teach 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
Samantha Teach, 3901 Chrysler Dr Ste 3b, Detroit, MI 48201-2167 Ph: (616) 822-8999	Samantha Teach, 3901 Chrysler Dr Ste 3b, Detroit, MI 48201-2167 Ph: (313) 577-1396

Reviews and Comments

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Michelle M Wojek, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Renaissance Ctr Ste 2600, Detroit, MI 48243 Phone: 888-731-8994
Mrs. Ines Hurley, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3950 Beaubien St, Detroit, MI 48201 Phone: 313-745-5437
Nicole Woznicki, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3901 Chrysler Dr, Detroit, MI 48201 Phone: 313-966-7601
Kathleen Mclaughlin, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3980 John R, Detroit, MI 48201 Phone: 888-362-2500

Samantha Teach, - Medicare Nurse Practitioner in Detroit, MI