Sanka Samardzija, PSY D in Crown Point, IN - Medicare Psychologist Provider

Sanka Samardzija, PSY D is a medicare enrolled "Psychologist - Clinical" provider in Crown Point, Indiana. Her current practice location is 2100 N Main St # 304, Crown Point, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 546-1900.

Sanka Samardzija is licensed to practice in Indiana (license number 20043349A) 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 1639483878.

Contact Information

	Sanka Samardzija, PSY D
	2100 N Main St # 304, Crown Point, IN 46307-1877
	(574) 546-1900
	(574) 546-1999

Map and Direction

Healthcare Provider's Profile

Full Name	Sanka Samardzija
Gender	Female
Speciality	Psychologist - Clinical
Location	2100 N Main St # 304, Crown Point, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639483878
Provider Enumeration Date: 07/29/2010
Last Update Date: 02/09/2024

Medicare PECOS Information:

PECOS PAC ID: 6305074543
Enrollment ID: I20181002000649

Medical Identifiers

Medical identifiers for Sanka Samardzija such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639483878	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	071008218 (Illinois)	Secondary
103TC0700X	Psychologist - Clinical	20043349A (Indiana)	Primary
103T00000X	Psychologist	071.008218 (Illinois)	Secondary
103T00000X	Psychologist	1201 (New Mexico)	Secondary

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. Sanka Samardzija allows following entities to bill medicare on her behalf.

Entity Name	Deer Oaks Mid West Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154978476 PECOS PAC ID: 2264762681 Enrollment ID: O20190927002974

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. Sanka Samardzija 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
Sanka Samardzija, PSY D 5600 Eubank Blvd Ne, Ste 160, Albuquerque, NM 87111-1518 Ph: (505) 221-6007	Sanka Samardzija, PSY D 2100 N Main St # 304, Crown Point, IN 46307-1877 Ph: (574) 546-1900

Reviews and Comments

Psychologist in Crown Point, IN

Kathy Ann Cain, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2150 W 97th Pl, Crown Point, IN 46307 Phone: 219-808-5140
Adamantia Dina Leftakis, ED.S Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1115 Ziegfield Ct, Crown Point, IN 46307 Phone: 219-308-2454
Dr. Alexander C. Kristevski, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9330 S Broadway, Abj-va Outpatient Clinic, Crown Point, IN 46307 Phone: 219-662-5098
Robin Christian Shear, PH.D., HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2100 N Main St Ste 304, Crown Point, IN 46307 Phone: 574-546-1900 Fax: 574-546-1999
Jonathan Royce Vandervlugt, LMHCA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9614 Granada Ct Apt 111, Crown Point, IN 46307 Phone: 773-732-1155
Dr. Victoria Colanese, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2100 N Main St Ste 304, Crown Point, IN 46307 Phone: 574-546-1900
James Fenstermacher, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2100 N Main St Ste 304, Crown Point, IN 46307 Phone: 574-546-1900 Fax: 574-546-1999

Sanka Samardzija, PSY D - Medicare Psychologist in Crown Point, IN