Samantha Rose Manduca, MSED, LPA is a
Psychologist based in Rockwell, North Carolina. Samantha Rose Manduca is licensed to practice in North Carolina (license number 5878) and her current practice location is
110a East Main Street, Rockwell, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(704) 279-0626.
NPI number for Samantha Rose Manduca is 1780268847 and her current mailing address is 110a East Main Street, Rockwell, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780268847.
Healthcare Provider's Profile
Full Name | Samantha Rose Manduca |
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Gender | Female |
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Speciality | Psychologist |
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Location | 110a East Main Street, Rockwell, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1780268847
- Provider Enumeration Date: 05/05/2021
- Last Update Date: 05/12/2021
Medical Identifiers
Medical identifiers for Samantha Rose Manduca such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780268847 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 5878 (North Carolina) | Primary |
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 Manduca is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Samantha Rose Manduca, MSED, LPA 110a East Main Street, Rockwell, NC 28138 Ph: () - | Samantha Rose Manduca, MSED, LPA 110a East Main Street, Rockwell, NC 28138 Ph: (704) 279-0626 |
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