Samantha Willis, is a
Community Health Worker based in Greenup, Kentucky. Samantha Willis is licensed to practice in * (Not Available) (license number ) and her current practice location is
57 Dora Ln, Greenup, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(606) 473-7333.
NPI number for Samantha Willis is 1649834961 and her current mailing address is Po Box 790, Ashland, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649834961.
Healthcare Provider's Profile
| Full Name | Samantha Willis |
|---|
| Gender | Female |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 57 Dora Ln, Greenup, Kentucky |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1649834961
- Provider Enumeration Date: 04/23/2019
- Last Update Date: 01/13/2021
Medical Identifiers
Medical identifiers for Samantha Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649834961 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
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. Samantha Willis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Samantha Willis,
Po Box 790,
Ashland, KY 41105-0790
Ph: (606) 329-8588 | Samantha Willis,
57 Dora Ln,
Greenup, KY 41144-1187
Ph: (606) 473-7333 |
Reviews and Comments