Sammantha Jeane Kouba, DO in Fargo, ND - Medicare Infectious Disease

Sammantha Jeane Kouba, DO is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Fargo, North Dakota. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Infectious Disease. She is a member of the group practice Sanford Medical Center Fargo and her current practice location is 5225 23rd Ave S, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 417-2575.

Sammantha Jeane Kouba is licensed to practice in North Dakota (license number 16710) 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 1760877344.

Contact Information

	Sammantha Jeane Kouba, DO
	5225 23rd Ave S, Fargo, ND 58104-7927
	(701) 417-2575
	(701) 417-2535

Map and Direction

Physician's Profile

Full Name	Sammantha Jeane Kouba
Gender	Female
Speciality	Infectious Disease
Experience	9 Years
Location	5225 23rd Ave S, Fargo, North Dakota
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:

Sammantha Jeane Kouba graduated from medical school in 2015

NPI Data:

NPI Number: 1760877344
Provider Enumeration Date: 04/01/2015
Last Update Date: 04/19/2022

Medicare PECOS Information:

PECOS PAC ID: 3476858440
Enrollment ID: I20201016001962

Medical Identifiers

Medical identifiers for Sammantha Jeane Kouba such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760877344	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	DO-05366 (Iowa)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	PG172349 (Oregon)	Secondary
207RI0200X	Internal Medicine - Infectious Disease	16710 (North Dakota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sanford Medical Center Fargo	Fargo, ND	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sanford Medical Center Fargo	8426967803	1085

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. Sammantha Jeane Kouba allows following entities to bill medicare on her behalf.

Entity Name	Sanford Clinic North
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942241351 PECOS PAC ID: 4284546151 Enrollment ID: O20031112000221

Entity Name	Sanford Medical Center Fargo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495

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. Sammantha Jeane Kouba 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
Sammantha Jeane Kouba, DO Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () -	Sammantha Jeane Kouba, DO 5225 23rd Ave S, Fargo, ND 58104-7927 Ph: (701) 417-2575

Reviews and Comments

Internal Medicine Doctors in Fargo, ND

Abdallah M Mansour, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8900
Derek Anderson, DO Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-234-5933
Gerald G Gross, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 820 4th St N, Fargo, ND 58102 Phone: 701-234-6161
Paul James Carson, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-4811 Fax: 701-234-6979
Howard L Russell, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 820 N 4th St, Fargo, ND 58122 Phone: 701-234-6161 Fax: 701-234-3861
Dr. Emuejevoke Joseph Okoh, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000
Dr. Patrick J Hughes, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 201-234-2000

Sammantha Jeane Kouba, DO - Medicare Infectious Disease in Fargo, ND