Samantha J Perleberg, MD - Medicare Pediatrics in Moorhead, MN

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Samantha J Perleberg, MD is a medicare enrolled "Pediatrics" physician in Moorhead, Minnesota. Her current practice location is 4000 28th Ave S, Moorhead, Minnesota. You can reach out to her office (for appointments etc.) via phone at (701) 234-3200.

Samantha J Perleberg is licensed to practice in Minnesota (license number 58162) 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 1083992002.

Contact Information

Samantha J Perleberg, MD
4000 28th Ave S,
Moorhead, MN 56560
(701) 234-3200
Not Available

Map and Direction




Physician's Profile

Full NameSamantha J Perleberg
GenderFemale
SpecialityPediatrics
Location4000 28th Ave S, Moorhead, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083992002
  • Provider Enumeration Date: 07/25/2011
  • Last Update Date: 03/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8628291366
  • Enrollment ID: I20140918000750

Medical Identifiers

Medical identifiers for Samantha J Perleberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083992002NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 13196 (North Dakota)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
208000000XPediatrics 58162 (Minnesota)Primary

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 J Perleberg allows following entities to bill medicare on her behalf.
Entity NameSanford Clinic North
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548532468
PECOS PAC ID: 4284546151
Enrollment ID: O20031209000264
Entity NameSanford Medical Center Fargo
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184917924
PECOS PAC ID: 8426967803
Enrollment ID: O20110701000031

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 J Perleberg 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 AddressPractice Location Address
Samantha J Perleberg, MD
Po Box 5074,
Sioux Falls, SD 57117-5074

Ph: () -		Samantha J Perleberg, MD
4000 28th Ave S,
Moorhead, MN 56560

Ph: (701) 234-3200

Reviews and Comments


Pediatrics Doctors in Moorhead, MN

Melissa Ann Kunkel, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4000 28th Ave S, Moorhead, MN 56560
Phone: 701-234-3200    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.