SAMANTHA DORNFELD
NPI 1245867852
Occupational Therapist in Annandale, MN

Active since March 24, 2020Accepts Medicare Assignment
500 PARK ST E, ANNANDALE, MN 55302(320) 274-3737 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 16, 2024, Mar 24, 2020 (2 updates tracked since 2020).

About Samantha Dornfeld NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA DORNFELD (NPI 1245867852) is an individual occupational therapist provider in Annandale, Minnesota and active in the NPI registry since March 2020. She is a graduate of Other (2019).Information from the official NPPES registry record, last updated May 16, 2024.

NPPES Registry Identity

NPI1245867852
Entity TypeIndividualFemale
Provider Legal NameSAMANTHA DORNFELD
Location Address500 PARK ST EAnnandale, MN 55302-3060
Mailing Address12 1st Ave SBuffalo, MN 55313-1409
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 24, 2020
Last NPPES UpdateMay 16, 20242 updates tracked since enumeration
NPPES CertifiedMay 16, 2024
NPI 1245867852 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Occupational Therapist

Taxonomy 225X00000X · Respiratory, Developmental, Rehabilitative and Restorative Service Providers

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy… Show more

500 PARK ST E, Annandale, MN 55302

Also on File with NPPES

Group Practice1
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization. (193400000X SINGLE SPECIALTY GROUP)

Medicare Participation & PECOS Enrollment Status

Samantha Dornfeld is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 2365984523

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240604001829

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Reviews for SAMANTHA DORNFELD

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Therapist
500 PARK ST E
ANNANDALE, MN 55302
Occupational Therapist
500 PARK ST E
ANNANDALE, MN 55302
Physical Therapist
500 PARK ST E
ANNANDALE, MN 55302
Physical Therapy Assistant
500 PARK ST E
ANNANDALE, MN 55302
Occupational Therapy Assistant
500 PARK ST E
ANNANDALE, MN 55302
Occupational Therapist
500 PARK ST E
ANNANDALE, MN 55302
Occupational Therapy Assistant
500 PARK ST E
ANNANDALE, MN 55302
Physical Therapy Assistant
500 PARK ST E
ANNANDALE, MN 55302
Speech-Language Pathologist
500 PARK ST E
ANNANDALE, MN 55302
Physical Therapy Assistant
500 PARK ST E
ANNANDALE, MN 55302
Occupational Therapist
500 PARK ST E
ANNANDALE, MN 55302
Physical Therapy Assistant
500 PARK ST E
ANNANDALE, MN 55302
Physical Therapist
500 PARK ST E
ANNANDALE, MN 55302
Physical Therapist
500 PARK ST E
ANNANDALE, MN 55302
Speech-Language Pathologist
500 PARK ST E
ANNANDALE, MN 55302
Physical Therapy Assistant
500 PARK ST E
ANNANDALE, MN 55302
Speech-Language Pathologist
500 PARK ST E
ANNANDALE, MN 55302
Occupational Therapy Assistant
500 PARK ST E
ANNANDALE, MN 55302
Occupational Therapy Assistant
500 PARK ST E
ANNANDALE, MN 55302
Occupational Therapist
500 PARK ST E
ANNANDALE, MN 55302

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245867852, enumerated as an "individual" on March 24, 2020.

The provider is located at 500 PARK ST E ANNANDALE, MN 55302 and the phone number is (320) 274-3737.

Occupational Therapist with taxonomy code 225X00000X.

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.