Jennifer A Sample, MD is a
Pediatrics physician based in Platte City, Missouri. Jennifer A Sample is licensed to practice in Missouri (license number 110981) and her current practice location is 1104 Platte Falls Rd, Platte City, Missouri. She can be reached at her office (for appointments etc.) via phone at
(816) 665-1080.
NPI number for Jennifer A Sample is 1912004342 and her current mailing address is 201 Academy St, Platte City, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912004342.
Physician's Profile
Full Name | Jennifer A Sample |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 1104 Platte Falls Rd, Platte City, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912004342
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 12/13/2019
Medical Identifiers
Medical identifiers for Jennifer A Sample such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912004342 | NPI | - | NPPES |
204705701 | Medicaid | MO | |
100347580A | Medicaid | KS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080T0002X | Pediatrics - Medical Toxicology | 110981 (Missouri) | Secondary |
208000000X | Pediatrics | 110981 (Missouri) | 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. Jennifer A Sample 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 |
Jennifer A Sample, MD 201 Academy St, Platte City, MO 64079-9653 Ph: (816) 665-1080 | Jennifer A Sample, MD 1104 Platte Falls Rd, Platte City, MO 64079-7629 Ph: (816) 665-1080 |
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