Samantha Larue Greenwald, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Bolingbrook, Illinois. Her current practice location is
126 Delaware Dr, Bolingbrook, Illinois. You can reach out to her office (for appointments etc.) via phone at
(630) 991-8556.
Samantha Larue Greenwald is licensed to practice in Illinois (license number 144316) 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 1497425326.
Provider's Profile
Full Name | Samantha Larue Greenwald |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 126 Delaware Dr, Bolingbrook, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1497425326
- Provider Enumeration Date: 09/13/2021
- Last Update Date: 11/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 6002257433
- Enrollment ID: I20240515004036
Medical Identifiers
Medical identifiers for Samantha Larue Greenwald such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497425326 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 041430338 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 144316 (Illinois) | 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. Samantha Larue Greenwald allows following entities to bill medicare on her behalf.
Entity Name | Anesthesia Associates, Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952308223 PECOS PAC ID: 2961303425 Enrollment ID: O20040224000185 |
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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. Samantha Larue Greenwald 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 Larue Greenwald, 126 Delaware Dr, Bolingbrook, IL 60440-2368 Ph: (630) 991-8556 | Samantha Larue Greenwald, 126 Delaware Dr, Bolingbrook, IL 60440-2368 Ph: (630) 991-8556 |
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