Samantha Marie Mccormack, APN in Montclair, NJ

Samantha Marie Mccormack, APN is a medicare enrolled "Nurse Practitioner - Family" in Montclair, New Jersey. Her current practice location is 1 Bay Ave, Montclair, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 429-6096.

Samantha Marie Mccormack is licensed to practice in New Jersey (license number 26NJ14955300) 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 1053188391.

Contact Information

	Samantha Marie Mccormack, APN
	1 Bay Ave, Montclair, NJ 07042-4837
	(973) 429-6096
	Not Available

Map and Direction

Provider's Profile

Full Name	Samantha Marie Mccormack
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1 Bay Ave, Montclair, 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: 1053188391
Provider Enumeration Date: 12/06/2023
Last Update Date: 10/15/2024

Medicare PECOS Information:

PECOS PAC ID: 3476088469
Enrollment ID: I20241127003283

Medical Identifiers

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

Identifier	Type	State	Issuer
1053188391	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	26NJ14955300 (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 Marie Mccormack allows following entities to bill medicare on her behalf.

Entity Name	Montclair Hospital Llc
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1093095184 PECOS PAC ID: 7810092814 Enrollment ID: O20140813000538

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 Marie Mccormack 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 Marie Mccormack, APN 168 Coeyman Ave, Nutley, NJ 07110-1503 Ph: (973) 930-8655	Samantha Marie Mccormack, APN 1 Bay Ave, Montclair, NJ 07042-4837 Ph: (973) 429-6096

Reviews and Comments

Nurse Practitioner Nurses in Montclair, NJ

Ann Frances Vallone, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Bay Ave, Montclair, NJ 07042 Phone: 973-429-6272 Fax: 973-680-7806
Maria Abigail Pama, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 98 Park St, Montclair, NJ 07042 Phone: 973-783-0800
Mrs. Esther D. Baxam-spence, RN, MSN, CNNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Bay Ave, Montclair, NJ 07042 Phone: 973-429-6991
Mary Ann M Sharpe, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Montclair State University, Montclair, NJ 07043 Phone: 973-655-4361 Fax: 973-655-4159
Ms. Rowena M Curva, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Bay Ave, Hackensackumc Mountainside School Of Nursing, Montclair, NJ 07042 Phone: 973-429-6078
Danielle Marie Volpe, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 37 N Fullerton Ave Ste 2, Montclair, NJ 07042 Phone: 973-509-1818

Samantha Marie Mccormack, APN - Medicare Nurse Practitioner in Montclair, NJ