Samuel Weiss, LICSW - Medicare Clinical Social Worker in Burlington, VT

Samuel Weiss, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Burlington, Vermont. His current practice location is 1138 Pine St, Burlington, Vermont. You can reach out to his office (for appointments etc.) via phone at (802) 488-6600.

Samuel Weiss is licensed to practice in Vermont (license number 089-0125268) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093225831.

Contact Information

Samuel Weiss, LICSW
1138 Pine St,
Burlington, VT 05401-5353
(802) 488-6600
(802) 488-6919



Healthcare Provider's Profile

Full NameSamuel Weiss
GenderMale
SpecialitySocial Worker - Clinical
Location1138 Pine St, Burlington, Vermont
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093225831
  • Provider Enumeration Date: 10/06/2017
  • Last Update Date: 10/06/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 1254607385
  • Enrollment ID: I20171018000040

Medical Identifiers

Medical identifiers for Samuel Weiss such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093225831NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 089-0125268 (Vermont)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. Samuel Weiss allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Vermont Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659309615
PECOS PAC ID: 3779491071
Enrollment ID: O20040406001047

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› Verified 8 days ago

Entity NameCommunity Health Centers Of Burlington Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689678963
PECOS PAC ID: 2062491251
Enrollment ID: O20040720000792

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› Verified 8 days ago

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. Samuel Weiss 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
Samuel Weiss, LICSW
208 Flynn Ave Ste 3j,
Burlington, VT 05401-5420

Ph: (802) 488-6920
Samuel Weiss, LICSW
1138 Pine St,
Burlington, VT 05401-5353

Ph: (802) 488-6600

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› Verified 8 days ago


Social Worker in Burlington, VT

Shannon Kadish, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1138 Pine St, Burlington, VT 05401
Phone: 802-488-6600    
Elyza Moore, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1138 Pine St, Burlington, VT 05401
Phone: 802-488-6000    Fax: 802-488-6919
Ellyn Leamon, LICSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 1138 Pine St, Burlington, VT 05401
Phone: 802-863-1326    
Lauren Carpenter, LICSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 617 Riverside Ave, Burlington, VT 05401
Phone: 802-864-6309    
Elaine Soto, LICSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 300 Flynn Ave, Burlington, VT 05401
Phone: 802-488-6300    
Jenifer D'aiello, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1 S Prospect St, Burlington, VT 05401
Phone: 802-847-5331    Fax: 802-847-7765
Kathleen Browne, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 617 Riverside Ave, Burlington, VT 05401
Phone: 802-864-6309    Fax: 802-860-4324

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