Samantha Gregory Dagenhardt, RN, MS, MSN, PMHCNS- in Port Washington, WI

Samantha Gregory Dagenhardt, RN, MS, MSN, PMHCNS- is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Port Washington, Wisconsin. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice County Of Ozaukee and her current practice location is 121 W Main St, Port Washington, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 284-8157.

Samantha Gregory Dagenhardt is licensed to practice in Wisconsin (license number 4747-33) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1659642841.

Contact Information

	Samantha Gregory Dagenhardt, RN, MS, MSN, PMHCNS-
	121 W Main St, Port Washington, WI 53074-1813
	(262) 284-8157
	(262) 284-8209

Map and Direction

Provider's Profile

Full Name	Samantha Gregory Dagenhardt
Gender	Female
Speciality	Nurse Practitioner
Experience	13 Years
Location	121 W Main St, Port Washington, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Samantha Gregory Dagenhardt graduated from nursing school in 2011

NPI Data:

NPI Number: 1659642841
Provider Enumeration Date: 01/19/2012
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 8527383900
Enrollment ID: I20150407000155

Medical Identifiers

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

Identifier	Type	State	Issuer
1659642841	NPI	-	NPPES
170792-30	Other	WI	RN
4747-33	Other	WI	APNP
1659642841	Medicaid	WI
100028338	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	4747-33 (Wisconsin)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	4747-33 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension Columbia St Mary's Hospital Milwaukee	Milwaukee, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
County Of Ozaukee	5698737450	6

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 Gregory Dagenhardt allows following entities to bill medicare on her behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

Entity Name	County Of Ozaukee
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609867001 PECOS PAC ID: 5698737450 Enrollment ID: O20041103000458

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 Gregory Dagenhardt 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 Gregory Dagenhardt, RN, MS, MSN, PMHCNS- 121 W Main St, Port Washington, WI 53074-1813 Ph: (262) 284-8200	Samantha Gregory Dagenhardt, RN, MS, MSN, PMHCNS- 121 W Main St, Port Washington, WI 53074-1813 Ph: (262) 284-8157

Reviews and Comments

Nurse Practitioner Nurses in Port Washington, WI

Legenda Gooding, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1475 W Grand Ave, Port Washington, WI 53074 Phone: 262-268-5100 Fax: 262-268-5115
Dr. Maureen Therese Greene, RN, CNS, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1136 Noridge Trl, Port Washington, WI 53074 Phone: 262-268-1328
Catherine L Turner, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1475 W Grand Ave, Port Washington, WI 53074 Phone: 262-268-5100 Fax: 262-268-5115
Heidi S Wheeler, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1777 W Grand Ave, Port Washington, WI 53074 Phone: 262-268-6603
Holly Marie Kempers, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 N Sweetwater Blvd, Port Washington, WI 53074 Phone: 920-476-6400
Mrs. Arleen L More O'ferrall, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 E Pier St Ste 23, Port Washington, WI 53074 Phone: 414-375-5005

Samantha Gregory Dagenhardt, RN, MS, MSN, PMHCNS- - Medicare Nurse Practitioner in Port Washington, WI