Samantha Kilia Trout, PA-C is a medicare enrolled "Physician Assistant" physician in Kettering, Ohio. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Dermatologists Of Southwestern Ohio, Llc and her current practice location is
3535 Southern Blvd, Kettering, Ohio. You can reach out to her office (for appointments etc.) via phone at
(808) 294-9379.
Samantha Kilia Trout is licensed to practice in Ohio (license number 50.005278RX) 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 1730699109.
Physician's Profile
| Full Name | Samantha Kilia Trout |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 7 Years |
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| Location | 3535 Southern Blvd, Kettering, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Samantha Kilia Trout graduated from medical school in 2017
NPI Data:
- NPI Number: 1730699109
- Provider Enumeration Date: 10/11/2017
- Last Update Date: 09/16/2020
Medicare PECOS Information:
- PECOS PAC ID: 8123384153
- Enrollment ID: I20171108001023
Medical Identifiers
Medical identifiers for Samantha Kilia Trout such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730699109 | NPI | - | NPPES |
| 0249173 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | 50.005278RX (Ohio) | Secondary |
| 363A00000X | Physician Assistant | 50.005278RX (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Dermatologists Of Southwestern Ohio, Llc | 7113973041 | 84 |
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 Kilia Trout 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 |
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Samantha Kilia Trout, PA-C
3131 Newmark Dr Ste 220,
Miamisburg, OH 45342-5400
Ph: (937) 436-4658 | Samantha Kilia Trout, PA-C
3535 Southern Blvd,
Kettering, OH 45429-1221
Ph: (808) 294-9379 |
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