Mr Derick N Samafuhbi, PA-C in Liberal, KS - Medicare Physician Assistant

Mr Derick N Samafuhbi, PA-C is a medicare enrolled "Physician Assistant" in Liberal, Kansas. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Ascension Via Christi Hospital Manhattan Inc, Emergency Medicine Associates Pa Pc and his current practice location is 315 W 15th St, Liberal, Kansas. You can reach out to his office (for appointments etc.) via phone at (620) 629-6477.

Mr Derick N Samafuhbi is licensed to practice in Kansas (license number 1501801) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770972184.

Contact Information

	Mr Derick N Samafuhbi, PA-C
	315 W 15th St, Liberal, KS 67901-2455
	(620) 629-6477
	(620) 629-6651

Map and Direction

Provider's Profile

Full Name	Mr Derick N Samafuhbi
Gender	Male
Speciality	Physician Assistant
Experience	10 Years
Location	315 W 15th St, Liberal, Kansas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Derick N Samafuhbi graduated from nursing school in 2014

NPI Data:

NPI Number: 1770972184
Provider Enumeration Date: 01/22/2015
Last Update Date: 01/09/2023

Medicare PECOS Information:

PECOS PAC ID: 1759697360
Enrollment ID: I20160414001655

Medical Identifiers

Medical identifiers for Mr Derick N Samafuhbi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770972184	NPI	-	NPPES
200631770A	Medicaid	OK
201134920A	Medicaid	KS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	0110005063 (Virginia)	Secondary
363A00000X	Physician Assistant	024081-01 (New York)	Secondary
363A00000X	Physician Assistant	1501801 (Kansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Carroll Hospital Center	Westminster, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ascension Via Christi Hospital Manhattan Inc	2860303427	22
Emergency Medicine Associates Pa Pc	8022914522	383

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. Mr Derick N Samafuhbi 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
Mr Derick N Samafuhbi, PA-C Po Box 1215, Attn Clinic Billing Office, Liberal, KS 67905-1215 Ph: (620) 629-6638	Mr Derick N Samafuhbi, PA-C 315 W 15th St, Liberal, KS 67901-2455 Ph: (620) 629-6477

Reviews and Comments

Physician Assistant Nurses in Liberal, KS

Unnati Basnyat, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 W 15th St, Liberal, KS 67901 Phone: 620-629-6477 Fax: 620-629-6651
Lauren Taylor Boyce, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 315 W 15th St, Liberal, KS 67901 Phone: 620-629-6477 Fax: 620-629-6651
Marlon S Bazan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 W 15th St, Liberal, KS 67901 Phone: 620-629-6477 Fax: 620-629-6651
Elyse Ann Jablonski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 W 15th St, Liberal, KS 67901 Phone: 620-629-6477 Fax: 620-629-6651
Mr. Bereket T Woldemariam, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 W 15th St, Liberal, KS 67901 Phone: 620-629-6477 Fax: 620-629-6651
Mr. Bishal Bista, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 W 15th St, Liberal, KS 67901 Phone: 620-629-6477 Fax: 620-629-6651

Mr Derick N Samafuhbi, PA-C - Medicare Physician Assistant in Liberal, KS