Samantha Leigh Guillod, APN in Ridgewood, NJ - Medicare Nurse Practitioner

Samantha Leigh Guillod, APN is a medicare enrolled "Nurse Practitioner" in Ridgewood, New Jersey. Her current practice location is 223 N Van Dien Ave, Ridgewood, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 447-8000.

Samantha Leigh Guillod is licensed to practice in New Jersey (license number 26NJ01444700) 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 1063110815.

Contact Information

	Samantha Leigh Guillod, APN
	223 N Van Dien Ave, Ridgewood, NJ 07450-2726
	(201) 447-8000
	Not Available

Map and Direction

Provider's Profile

Full Name	Samantha Leigh Guillod
Gender	Female
Speciality	Nurse Practitioner
Location	223 N Van Dien Ave, Ridgewood, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063110815
Provider Enumeration Date: 02/21/2023
Last Update Date: 02/21/2023

Medicare PECOS Information:

PECOS PAC ID: 1557729548
Enrollment ID: I20230623000759

Medical Identifiers

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

Identifier	Type	State	Issuer
1063110815	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	26NJ01444700 (New Jersey)	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 Leigh Guillod allows following entities to bill medicare on her behalf.

Entity Name	Personal Np Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649658105 PECOS PAC ID: 9335455179 Enrollment ID: O20150825003750

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 Leigh Guillod 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 Leigh Guillod, APN 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 Ph: (201) 447-8000	Samantha Leigh Guillod, APN 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 Ph: (201) 447-8000

Reviews and Comments

Nurse Practitioner Nurses in Ridgewood, NJ

Jennifer Polizzano, APN-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-447-8345 Fax: 201-447-8103
Kelly Rumler, APN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-447-8000
Susan Bell, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 505 Goffle Rd, Ridgewood, NJ 07450 Phone: 201-612-1006 Fax: 201-612-1091
Kimberly Michele Pryslak, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-447-8000
Mary Catherine Collins, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-447-8371
Mrs. Marianne Marie Longo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 E Ridgewood Ave, 2nd Floor, Ridgewood, NJ 07450 Phone: 201-670-8660 Fax: 201-670-6693

Samantha Leigh Guillod, APN - Medicare Nurse Practitioner in Ridgewood, NJ