Samantha R Vaisman, DPT, PT - Medicare Physical Therapist in San Diego, CA

Samantha R Vaisman, DPT, PT is a medicare enrolled "Physical Therapist" provider in San Diego, California. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Performance Plus Physical Therapy, Inc., Barbara Jean Boutelle Carlsbad Physical Therapy and her current practice location is 9909 Mira Mesa Blvd Ste 120, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (858) 693-0436.

Samantha R Vaisman is licensed to practice in California (license number PT300766) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1457022071.

Contact Information

Samantha R Vaisman, DPT, PT
9909 Mira Mesa Blvd Ste 120,
San Diego, CA 92131-1060
(858) 693-0436
(858) 693-0437

Map and Direction




Healthcare Provider's Profile

Full NameSamantha R Vaisman
GenderFemale
SpecialityPhysical Therapy
Experience3 Years
Location9909 Mira Mesa Blvd Ste 120, San Diego, California
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samantha R Vaisman graduated from medical school in 2021
  NPI Data:
  • NPI Number: 1457022071
  • Provider Enumeration Date: 09/23/2021
  • Last Update Date: 09/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1355749664
  • Enrollment ID: I20211015002688

Medical Identifiers

Medical identifiers for Samantha R Vaisman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457022071NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT300766 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Performance Plus Physical Therapy, Inc.185066877312
Barbara Jean Boutelle Carlsbad Physical Therapy408252718914

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 R Vaisman allows following entities to bill medicare on her behalf.
Provider NameBarbara Jean Boutelle Carlsbad Physical Therapy
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1669420980
PECOS PAC ID: 4082527189
Enrollment ID: O20031105000823
Provider NamePerformance Plus Physical Therapy, Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1144766064
PECOS PAC ID: 1850668773
Enrollment ID: O20170525000621

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 R Vaisman 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 R Vaisman, DPT, PT
3070 Madison St,
Carlsbad, CA 92008-2310

Ph: (760) 591-7750
Samantha R Vaisman, DPT, PT
9909 Mira Mesa Blvd Ste 120,
San Diego, CA 92131-1060

Ph: (858) 693-0436

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.