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

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) 291-3091.

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) 291-3091
(501) 588-0484



Healthcare Provider's Profile

Full NameMs Samantha Sewell Short
GenderFemale
SpecialityClinical Psychologist
Experience10 Years
Location317 Oak St Ste 3, Conway, Arkansas
Accepts Medicare AssignmentsYes. 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: 01/08/2020
  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.
IdentifierTypeStateIssuer
1144465139NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 15-11P (Arkansas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Therapy Assessment Center Llc09415385572

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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 NameTherapy Assessment Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093184210
PECOS PAC ID: 0941538557
Enrollment ID: O20190821000368

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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 AddressPractice 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) 291-3091

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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    

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