Samantha Dessert, AGACNP - Medicare Nurse Practitioner in Providence, RI

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Samantha Dessert, AGACNP is a medicare enrolled "Nurse Practitioner - School" in Providence, Rhode Island. Her current practice location is 305 Shipyard St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 598-1151.

Samantha Dessert is licensed to practice in Rhode Island (license number APRN03841) 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 1962121889.

Contact Information

Samantha Dessert, AGACNP
305 Shipyard St,
Providence, RI 02905-5212
(401) 598-1151
(401) 598-4673

Map and Direction




Provider's Profile

Full NameSamantha Dessert
GenderFemale
SpecialityNurse Practitioner - School
Location305 Shipyard St, Providence, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962121889
  • Provider Enumeration Date: 08/24/2022
  • Last Update Date: 10/31/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6103298252
  • Enrollment ID: I20230217002134

Medical Identifiers

Medical identifiers for Samantha Dessert such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962121889NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LS0200XNurse Practitioner - School APRN03841 (Rhode Island)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 Dessert allows following entities to bill medicare on her behalf.
Entity NameAngels Neurological Centers Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821027079
PECOS PAC ID: 5193622389
Enrollment ID: O20031216000558

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 Dessert 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 AddressPractice Location Address
Samantha Dessert, AGACNP
8 Abbott Park Pl,
Providence, RI 02903-3775

Ph: (401) 598-1104		Samantha Dessert, AGACNP
305 Shipyard St,
Providence, RI 02905-5212

Ph: (401) 598-1151

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.