Justine M Samanas, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

OA002227 Issued in PA

Practice address

128 W Washington St
Nanticoke, PA 18634-3113

Phone

(570) 735-3300

Fax

(570) 735-1879

NPI assigned

Oct 5, 2007

Last updated

Oct 19, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Justine M. Spring Former name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Counseling ServicesGroup PAC ID 5799768115, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northeast Counseling Services

  • Clinic/Center
  • Hazle Township, PA
  • NPI 1649608530
  Medicare reassignment Care Compare group NPD
• David Liskov, MD

  • Geriatric Psychiatry Physician
  • Kingston, PA
  • NPI 1780683417
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1588852347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043702",
            "telephone_number": "570-288-5441",
            "fax_number": "570-288-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 W WASHINGTON ST",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186343113",
            "telephone_number": "570-735-3300",
            "fax_number": "570-735-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMANAS",
        "first_name": "JUSTINE",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA002227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUSTINE",
            "last_name": "SPRING",
            "middle_name": "M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Richards, ATC
• Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 00218)
• RMC PT, LLC
• Amy Lynn Robacheski, PHARMD, RPH
• Jillian Mary Rogers, PT, DPT
• Madeline Elizabeth Scozzari, RD, LDN
• Pamela Ann Serratore, RPH
• John Vincent Settepani
• Rakesh K Sharma, M.D.
• Joshua Shaver

• Physician Assistant in Nanticoke, PA
• Providers in Nanticoke, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.