Samantha Pribula, is a medicare enrolled "Nurse Practitioner - Family" physician in Copley, Ohio. Her current practice location is
155 Heritage Woods Dr, Copley, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 666-0980.
Samantha Pribula is licensed to practice in Ohio (license number APRN.CNP.0032563) 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 1487364667.
Physician's Profile
| Full Name | Samantha Pribula |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 155 Heritage Woods Dr, Copley, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1487364667
- Provider Enumeration Date: 11/29/2022
- Last Update Date: 11/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 1355712522
- Enrollment ID: I20230126000337
Medical Identifiers
Medical identifiers for Samantha Pribula such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487364667 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | APRN.CNP.0032563 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.0032563 (Ohio) | 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 Pribula allows following entities to bill medicare on her behalf.
| Entity Name | Wrh Physicians, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700025459
PECOS PAC ID: 0840342366
Enrollment ID: O20090714000789 |
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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 Pribula 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 Pribula,
5476 Diana Lynn Dr,
Stow, OH 44224-1649
Ph: (330) 696-4021 | Samantha Pribula,
155 Heritage Woods Dr,
Copley, OH 44321-2791
Ph: (330) 666-0980 |
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