Samantha Gayle Yeagy, ATC is a
Emergency Medicine - Sports Medicine physician based in Fairmount, Indiana. Samantha Gayle Yeagy is licensed to practice in Indiana (license number 36002191A) and her current practice location is 11700 S E 00 W, Fairmount, Indiana. She can be reached at her office (for appointments etc.) via phone at
(765) 618-3279.
NPI number for Samantha Gayle Yeagy is 1760012181 and her current mailing address is 11700 S E 00 W, Fairmount, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760012181.
Physician's Profile
Full Name | Samantha Gayle Yeagy |
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Gender | Female |
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Speciality | Emergency Medicine - Sports Medicine |
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Location | 11700 S E 00 W, Fairmount, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760012181
- Provider Enumeration Date: 01/24/2020
- Last Update Date: 01/24/2020
Medical Identifiers
Medical identifiers for Samantha Gayle Yeagy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760012181 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207PS0010X | Emergency Medicine - Sports Medicine | 36002191A (Indiana) | 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 Gayle Yeagy 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 Gayle Yeagy, ATC 11700 S E 00 W, Fairmount, IN 46928-9318 Ph: (765) 618-3279 | Samantha Gayle Yeagy, ATC 11700 S E 00 W, Fairmount, IN 46928-9318 Ph: (765) 618-3279 |
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