Ms Samantha Sewell Short, PSYD, LP in Conway, AR - Medicare Clinical Psychologist Provider

Ms Samantha Sewell Short, PSYD, LP is a medicare enrolled "Psychologist - Clinical" provider in Conway, Arkansas. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Therapy Assessment Center Llc and her current practice location is 317 Oak St Ste 3, Conway, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 358-6396.

Ms Samantha Sewell Short is licensed to practice in Arkansas (license number 15-11P) 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 1144465139.

Contact Information

	Ms Samantha Sewell Short, PSYD, LP
	317 Oak St Ste 3, Conway, AR 72032-5679
	(501) 358-6396
	(501) 588-0484

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Samantha Sewell Short
Gender	Female
Speciality	Clinical Psychologist
Experience	10 Years
Location	317 Oak St Ste 3, Conway, Arkansas
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:

Ms Samantha Sewell Short graduated from medical school in 2014

NPI Data:

NPI Number: 1144465139
Provider Enumeration Date: 12/05/2008
Last Update Date: 08/15/2024

Medicare PECOS Information:

PECOS PAC ID: 1850629460
Enrollment ID: I20191211000648

Medical Identifiers

Medical identifiers for Ms Samantha Sewell Short such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144465139	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	15-11P (Arkansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Therapy Assessment Center Llc	0941538557	2

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. Ms Samantha Sewell Short allows following entities to bill medicare on her behalf.

Entity Name	Therapy Assessment Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093184210 PECOS PAC ID: 0941538557 Enrollment ID: O20190821000368

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. Ms Samantha Sewell Short 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
Ms Samantha Sewell Short, PSYD, LP 317 Oak St Ste 3, Conway, AR 72032-5679 Ph: (501) 291-3091	Ms Samantha Sewell Short, PSYD, LP 317 Oak St Ste 3, Conway, AR 72032-5679 Ph: (501) 358-6396

Reviews and Comments

Psychologist in Conway, AR

Susan Sobel, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1014 Main St, Conway, AR 72032 Phone: 501-336-0511 Fax: 501-336-4034
Mrs. Cariann M Bergner-moore, PSYD/PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1312 Donaghey Ave, Conway, AR 72034 Phone: 501-358-6606
Wendi Elliott, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1014 Main St, Conway, AR 72032 Phone: 501-336-0511 Fax: 501-336-4034
Kimberly Ann Callaway Gentry, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 317 Oak St Ste 3, Conway, AR 72032 Phone: 501-358-6396
Susan E Schaefer, PH D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 350 Salem Road, Suite 1, Conway, AR 72034 Phone: 501-336-8300 Fax: 501-329-3572
Sarah Lindeman Root, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1100 Bob Courtway Dr Ste 9, Conway, AR 72032 Phone: 501-812-4268

Ms Samantha Sewell Short, PSYD, LP - Medicare Psychologist in Conway, AR