Cynthia A Sam, MS, APRN in Ada, OK - Medicare Nurse Practitioner

Cynthia A Sam, MS, APRN is a medicare enrolled "Nurse Practitioner - Family" in Ada, Oklahoma. Her current practice location is 530 N Monte Vista St Ste A, Ada, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 310-9510.

Cynthia A Sam is licensed to practice in New Mexico (license number 02009) 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 1538319561.

Contact Information

	Cynthia A Sam, MS, APRN
	530 N Monte Vista St Ste A, Ada, OK 74820-4675
	(580) 310-9510
	Not Available

Map and Direction

Provider's Profile

Full Name	Cynthia A Sam
Gender	Female
Speciality	Nurse Practitioner - Family
Location	530 N Monte Vista St Ste A, Ada, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538319561
Provider Enumeration Date: 09/26/2008
Last Update Date: 06/20/2024

Medicare PECOS Information:

PECOS PAC ID: 5294899035
Enrollment ID: I20130401000203

Medical Identifiers

Medical identifiers for Cynthia A Sam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538319561	NPI	-	NPPES
271777YM5A	Other	NM	MEDICARE
91531551	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	75026 (Oklahoma)	Secondary
363LF0000X	Nurse Practitioner - Family	02009 (New Mexico)	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. Cynthia A Sam allows following entities to bill medicare on her behalf.

Entity Name	Presbyterian Medical Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871505032 PECOS PAC ID: 2062324684 Enrollment ID: O20031103000414

Entity Name	Roswell Family Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134499262 PECOS PAC ID: 0941465710 Enrollment ID: O20120628000277

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. Cynthia A Sam 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
Cynthia A Sam, MS, APRN Po Box 358, Krebs, OK 74554-0358 Ph: (918) 424-9684	Cynthia A Sam, MS, APRN 530 N Monte Vista St Ste A, Ada, OK 74820-4675 Ph: (580) 310-9510

Reviews and Comments

Nurse Practitioner Nurses in Ada, OK

Akilah Talibah Dunn, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Blvd., Ada, OK 74820 Phone: 580-436-3980
Mrs. Linda Louise Spooner, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2330 Arlington St, Ada, OK 74820 Phone: 580-332-2011 Fax: 580-332-9537
Dr. Tosha Lucille Wilson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 709 Better Now Plz, Ada, OK 74820 Phone: 580-310-9989
Qiong Mu Ross, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 N Monte Vista St, Ada, OK 74820 Phone: 580-436-5111 Fax: 580-436-1159
Robin M Losee, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820 Phone: 580-421-4570
Michelle Ann Cole, APRN FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 709 Better Now Plz, Ada, OK 74820 Phone: 580-310-9899 Fax: 580-310-9818
Shari M Rhodes, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 Arlington St Ste F, Ada, OK 74820 Phone: 580-279-1788

Cynthia A Sam, MS, APRN - Medicare Nurse Practitioner in Ada, OK