Dr Samantha C Butler, PHD - Medicare Psychologist in Boston, MA

Dr Samantha C Butler, PHD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Boston, Massachusetts. Her current practice location is 300 Longwood Ave, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 355-7483.

Dr Samantha C Butler is licensed to practice in Massachusetts (license number 9001) 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 1083840946.

Contact Information

Dr Samantha C Butler, PHD
300 Longwood Ave,
Boston, MA 02115
(617) 355-7483
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Samantha C Butler
GenderFemale
SpecialityPsychologist - Clinical Child & Adolescent
Location300 Longwood Ave, Boston, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083840946
  • Provider Enumeration Date: 06/05/2009
  • Last Update Date: 06/05/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 3476826132
  • Enrollment ID: I20170831003255

Medical Identifiers

Medical identifiers for Dr Samantha C Butler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083840946NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC2200XPsychologist - Clinical Child & Adolescent 9001 (Massachusetts)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. Dr Samantha C Butler allows following entities to bill medicare on her behalf.
Entity NameBoston Childrens Heart Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982680922
PECOS PAC ID: 8729071675
Enrollment ID: O20040406001030
Entity NameChildren's Hospital Pediatric Associates, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457306664
PECOS PAC ID: 3476541830
Enrollment ID: O20040504000964

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. Dr Samantha C Butler 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
Dr Samantha C Butler, PHD
11 Ashland Pl,
Medford, MA 02155

Ph: (617) 355-7483
Dr Samantha C Butler, PHD
300 Longwood Ave,
Boston, MA 02115

Ph: (617) 355-7483

Reviews and Comments


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