Annette N Sampson, in Grand Ronde, OR - Medicare Nurse Practitioner

Annette N Sampson, is a medicare enrolled "Nurse Practitioner - Family" in Grand Ronde, Oregon. Her current practice location is 9605 Grand Ronde Rd, Grand Ronde, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 879-2002.

Annette N Sampson is licensed to practice in Oregon (license number 202214454NP-PP) 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 1215241708.

Contact Information

	Annette N Sampson,
	9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712
	(503) 879-2002
	(503) 879-2071

Map and Direction

Provider's Profile

Full Name	Annette N Sampson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	9605 Grand Ronde Rd, Grand Ronde, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215241708
Provider Enumeration Date: 07/27/2010
Last Update Date: 07/25/2024

Medicare PECOS Information:

PECOS PAC ID: 5991172926
Enrollment ID: I20221104000945

Medical Identifiers

Medical identifiers for Annette N Sampson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215241708	NPI	-	NPPES
171037	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	201141804RN (Oregon)	Secondary
363LF0000X	Nurse Practitioner - Family	202214454NP-PP (Oregon)	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. Annette N Sampson allows following entities to bill medicare on her behalf.

Entity Name	Confederated Tribes Of The Grand Ronde Community Of Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174666358 PECOS PAC ID: 6103717277 Enrollment ID: O20040320000494

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. Annette N Sampson 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
Annette N Sampson, 9615 Grand Ronde Rd, Grand Ronde, OR 97347-9712 Ph: (503) 879-2002	Annette N Sampson, 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 Ph: (503) 879-2002

Reviews and Comments

Nurse Practitioner Nurses in Grand Ronde, OR

Mr. Maurice A Ajaifia, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2026
Tricia Raye Hayden, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2060
Deborah Anne Samoson, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2002

Annette N Sampson, - Medicare Nurse Practitioner in Grand Ronde, OR