Sammy Lane Radcliff, is a medicare enrolled "Nurse Practitioner - Family" physician in Waynesville, Missouri. Her current practice location is
1000 Gw Ln, Waynesville, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 842-4000.
Sammy Lane Radcliff is licensed to practice in Missouri (license number 2017028760) 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 1437674454.
Physician's Profile
Full Name | Sammy Lane Radcliff |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1000 Gw Ln, Waynesville, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1437674454
- Provider Enumeration Date: 08/10/2017
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 0143594614
- Enrollment ID: I20170921002361
Medical Identifiers
Medical identifiers for Sammy Lane Radcliff such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437674454 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 2017028760 (Missouri) | Secondary |
363LF0000X | Nurse Practitioner - Family | 2017028760 (Missouri) | Primary |
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. Sammy Lane Radcliff 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 |
Sammy Lane Radcliff, 1050 W 10th St, Attn: Executive Director Of Physician Clinics, Rolla, MO 65401-2905 Ph: (573) 364-9000 | Sammy Lane Radcliff, 1000 Gw Ln, Waynesville, MO 65583-2339 Ph: (573) 842-4000 |
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