Nancy Fredericka Samura, is a medicare enrolled "Social Worker - Clinical" provider in Whiteearth, Minnesota. Her current practice location is
24246 Crane Road, Whiteearth, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 983-4703.
Nancy Fredericka Samura is licensed to practice in Minnesota (license number 24236) 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 1962272112.
Healthcare Provider's Profile
Full Name | Nancy Fredericka Samura |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 24246 Crane Road, Whiteearth, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962272112
- Provider Enumeration Date: 01/08/2024
- Last Update Date: 01/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 9032555040
- Enrollment ID: I20240313001461
Medical Identifiers
Medical identifiers for Nancy Fredericka Samura such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962272112 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 24236 (Minnesota) | 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. Nancy Fredericka Samura allows following entities to bill medicare on her behalf.
Entity Name | Lakeland Mental Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366480287 PECOS PAC ID: 1759291891 Enrollment ID: O20031105000073 |
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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. Nancy Fredericka Samura 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 |
Nancy Fredericka Samura, 3920 31st St S, Moorhead, MN 56560-6053 Ph: (701) 526-8848 | Nancy Fredericka Samura, 24246 Crane Road, Whiteearth, MN 56591 Ph: (218) 983-4703 |
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