Samantha Lina Valle, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Holbrook, New York. Her current practice location is
161 Avenue D, Holbrook, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 672-3218.
Samantha Lina Valle is licensed to practice in New York (license number 697660) 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 1033951959.
Provider's Profile
Full Name | Samantha Lina Valle |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 161 Avenue D, Holbrook, New York |
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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: 1033951959
- Provider Enumeration Date: 06/11/2024
- Last Update Date: 10/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 3577095926
- Enrollment ID: I20241010001774
Medical Identifiers
Medical identifiers for Samantha Lina Valle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033951959 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 697660 (New York) | 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 Lina Valle allows following entities to bill medicare on her behalf.
Entity Name | Fpa Hospital Based |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629319413 PECOS PAC ID: 4789826694 Enrollment ID: O20130806000185 |
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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 Lina Valle 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 Lina Valle, 161 Avenue D, Holbrook, NY 11741-2333 Ph: () - | Samantha Lina Valle, 161 Avenue D, Holbrook, NY 11741-2333 Ph: (631) 672-3218 |
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