Samantha Rose Amendola, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Brightwaters, New York. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice North Shore - Lij Medical Pc and her current practice location is
400 Potter Blvd, Brightwaters, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 591-7400.
Samantha Rose Amendola is licensed to practice in New York (license number 309887) 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 1932707932.
Provider's Profile
| Full Name | Samantha Rose Amendola |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 4 Years |
|---|
| Location | 400 Potter Blvd, Brightwaters, New York |
|---|
| 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 Rose Amendola graduated from nursing school in 2020
NPI Data:
- NPI Number: 1932707932
- Provider Enumeration Date: 10/12/2020
- Last Update Date: 10/12/2020
Medicare PECOS Information:
- PECOS PAC ID: 2062821143
- Enrollment ID: I20210430000421
Medical Identifiers
Medical identifiers for Samantha Rose Amendola such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932707932 | NPI | - | NPPES |
| 309887 | Other | NY | NYS NP LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 309887 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| North Shore - Lij Medical Pc | 3375701568 | 5120 |
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 Rose Amendola allows following entities to bill medicare on her behalf.
| Entity Name | North Shore - Lij Medical Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262 |
|---|
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 Rose Amendola 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 Rose Amendola, NP
325 Edelweiss Rd,
West Islip, NY 11795-2805
Ph: (631) 860-3581 | Samantha Rose Amendola, NP
400 Potter Blvd,
Brightwaters, NY 11718
Ph: (631) 591-7400 |
Reviews and Comments