Heather Samudovsky, PA-C - Medicare Physician Assistant in Springfield, IL

Heather Samudovsky, PA-C is a medicare enrolled "Physician Assistant" in Springfield, Illinois. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Springfield Clinic Llp and her current practice location is 800 E Carpenter St, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 544-6464.

Heather Samudovsky is licensed to practice in Illinois (license number 085-007904) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356962120.

Contact Information

Heather Samudovsky, PA-C
800 E Carpenter St,
Springfield, IL 62769-4902
(217) 544-6464
Not Available

Map and Direction




Provider's Profile

Full NameHeather Samudovsky
GenderFemale
SpecialityPhysician Assistant
Experience4 Years
Location800 E Carpenter St, Springfield, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Heather Samudovsky graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1356962120
  • Provider Enumeration Date: 05/02/2020
  • Last Update Date: 03/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0648684647
  • Enrollment ID: I20210203001349

Medical Identifiers

Medical identifiers for Heather Samudovsky such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356962120NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Secondary
363A00000XPhysician Assistant 085-007904 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Johns HospitalSpringfield, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Springfield Clinic Llp0547166076673

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. Heather Samudovsky 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 AddressPractice Location Address
Heather Samudovsky, PA-C
111 Oakwood Rd,
East Peoria, IL 61611-1853

Ph: (309) 740-4272
Heather Samudovsky, PA-C
800 E Carpenter St,
Springfield, IL 62769-4902

Ph: (217) 544-6464

Reviews and Comments


Physician Assistant Nurses in Springfield, IL

Jerry Priddy, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1301 S Koke Mill Rd, Springfield, IL 62711
Phone: 217-547-9100    Fax: 217-547-9236
Sydney Lynch,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2901 Greenbriar Dr, Springfield, IL 62704
Phone: 217-528-7541    
Julie C Hart, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2200 Wabash Ave, Springfield, IL 62704
Phone: 217-528-7541    
Carol M. Harper, P.A.-C.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2200 Wabash Ave, Springfield, IL 62704
Phone: 217-528-7541    
Brittany A Muller, MMS, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3220 Atlanta St, Springfield, IL 62707
Phone: 217-588-7400    
Mr. Eric D Wolf, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2151 W White Oaks Dr, Springfield, IL 62704
Phone: 217-717-4404    
Zachary Sims, P.A.-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 520 N 4th St, Springfield, IL 62702
Phone: 217-757-8100    Fax: 217-757-8161

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.