Dr Samantha Sue Sellers, PA is a medicare enrolled "Physician Assistant" physician in Panama City, Florida. Her current practice location is
449 W 23rd St, Panama City, Florida. You can reach out to her office (for appointments etc.) via phone at
(850) 769-8341.
Dr Samantha Sue Sellers is licensed to practice in Florida (license number PA9115984) 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 1306476759.
Physician's Profile
| Full Name | Dr Samantha Sue Sellers |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 449 W 23rd St, Panama City, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1306476759
- Provider Enumeration Date: 01/23/2020
- Last Update Date: 03/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 5395174452
- Enrollment ID: I20200411000249
Medical Identifiers
Medical identifiers for Dr Samantha Sue Sellers such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306476759 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | PA9115984 (Florida) | Secondary |
| 207P00000X | Emergency Medicine | 0010-9729 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | 0010-9729 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | PA9115984 (Florida) | 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. Dr Samantha Sue Sellers 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 |
|---|
Dr Samantha Sue Sellers, PA
2243 Rolling Pines Rd,
Chipley, FL 32428
Ph: (904) 314-3891 | Dr Samantha Sue Sellers, PA
449 W 23rd St,
Panama City, FL 32405-4507
Ph: (850) 769-8341 |
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