Samantha Ghanayem Bouikidis, in Kenosha, WI

Samantha Ghanayem Bouikidis, is a medicare enrolled "Family Medicine" physician in Kenosha, Wisconsin. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Aamg Reach Pllc, Aurora Medical Group, Inc. and her current practice location is 10400 75th St, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 948-7370.

Samantha Ghanayem Bouikidis is licensed to practice in Wisconsin (license number 67162) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1588083232.

Contact Information

	Samantha Ghanayem Bouikidis,
	10400 75th St, Kenosha, WI 53142-7884
	(262) 948-7370
	Not Available

Map and Direction

Physician's Profile

Full Name	Samantha Ghanayem Bouikidis
Gender	Female
Speciality	Family Practice
Experience	10 Years
Location	10400 75th St, Kenosha, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Samantha Ghanayem Bouikidis attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2014

NPI Data:

NPI Number: 1588083232
Provider Enumeration Date: 04/09/2014
Last Update Date: 11/13/2023

Medicare PECOS Information:

PECOS PAC ID: 5597060079
Enrollment ID: I20170814002595

Medical Identifiers

Medical identifiers for Samantha Ghanayem Bouikidis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588083232	NPI	-	NPPES
100070028	Medicaid	WI
1588083232	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	125065487 (Illinois)	Secondary
207Q00000X	Family Medicine	67162 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Aurora At Home	Milwaukee, WI	Home health agency
Aurora Medical Center Kenosha	Kenosha, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aamg Reach Pllc	5597133264	61
Aurora Medical Group, Inc.	6709794258	3269

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. Samantha Ghanayem Bouikidis allows following entities to bill medicare on her behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

Entity Name	Aamg Reach Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609502707 PECOS PAC ID: 5597133264 Enrollment ID: O20221216002458

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 Ghanayem Bouikidis 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
Samantha Ghanayem Bouikidis, Po Box 735044, Chicago, IL 60673-5044 Ph: () -	Samantha Ghanayem Bouikidis, 10400 75th St, Kenosha, WI 53142-7884 Ph: (262) 948-7370

Reviews and Comments

Family Medicine Doctors in Kenosha, WI

Mr. John A Martini, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 262-656-3172
Ali J Kilic, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1020 35th St, Kenosha, WI 53140 Phone: 262-652-3500 Fax: 262-997-0113
Dragos G Nanul, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Avenue, Suite 2000, Kenosha, WI 53143 Phone: 262-653-5300 Fax: 262-653-5412
Dr. Paul V Capelli, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-7010 Fax: 262-948-7328
Rodrigo A Mata Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6123 Green Bay Rd, Suite 120, Kenosha, WI 53142 Phone: 262-652-6995 Fax: 262-652-1370
Dr. Charles Santilukka, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 35th St, Suite 160, Kenosha, WI 53140 Phone: 262-652-3500
Priti J Patel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Aurora Health Care, Kenosha, WI 53142 Phone: 262-948-7000

Samantha Ghanayem Bouikidis, - Medicare Family Practice in Kenosha, WI