Emily Samborn, NP in Plymouth, MN - Medicare Nurse Practitioner

Emily Samborn, NP is a medicare enrolled "Nurse Practitioner - Gerontology" in Plymouth, Minnesota. Her current practice location is 2805 Campus Dr Ste 115, Plymouth, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 577-7800.

Emily Samborn is licensed to practice in Minnesota (license number CNP4458) 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 1942664024.

Contact Information

	Emily Samborn, NP
	2805 Campus Dr Ste 115, Plymouth, MN 55441-2677
	(763) 577-7800
	(763) 577-7855

Map and Direction

Provider's Profile

Full Name	Emily Samborn
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	2805 Campus Dr Ste 115, Plymouth, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942664024
Provider Enumeration Date: 04/05/2016
Last Update Date: 12/05/2022

Medicare PECOS Information:

PECOS PAC ID: 4587962147
Enrollment ID: I20160414001162

Medical Identifiers

Medical identifiers for Emily Samborn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942664024	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	CNP4458 (Minnesota)	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. Emily Samborn allows following entities to bill medicare on her behalf.

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713

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. Emily Samborn 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
Emily Samborn, NP Po Box 43, Mr 10860, Minneapolis, MN 55440-0043 Ph: (612) 262-1166	Emily Samborn, NP 2805 Campus Dr Ste 115, Plymouth, MN 55441-2677 Ph: (763) 577-7800

Reviews and Comments

Nurse Practitioner Nurses in Plymouth, MN

Jackie L Collins, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2805 Campus Dr Ste 105, Plymouth, MN 55441 Phone: 763-519-7440 Fax: 763-519-7445
Mrs. Ellie Flannery, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5046 Everest Ln N, Plymouth, MN 55446 Phone: 612-669-8725
Khrystyna Antonova, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15552 57th Pl N, Plymouth, MN 55446 Phone: 612-481-1842
Sarah Irene Hare, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4140 County Road 101 N, Plymouth, MN 55446 Phone: 763-478-4612
Natalie Brandsrud, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18205 45th Ave N Ste C, Plymouth, MN 55446 Phone: 763-400-7828
John M Rozman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15700 37th Ave N Ste 150, Plymouth, MN 55446 Phone: 651-968-5201
Erica Barbosa De Souza, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 Magnolia Ln N, Plymouth, MN 55441 Phone: 763-744-7256

Emily Samborn, NP - Medicare Nurse Practitioner in Plymouth, MN