Jazmin Sam, FNP in Angleton, TX - Medicare Nurse Practitioner

Jazmin Sam, FNP is a medicare enrolled "Nurse Practitioner - Family" in Angleton, Texas. Her current practice location is 1108 E Mulberry St, Angleton, Texas. You can reach out to her office (for appointments etc.) via phone at (409) 266-1888.

Jazmin Sam is licensed to practice in Texas (license number 1088298) 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 1003542978.

Contact Information

	Jazmin Sam, FNP
	1108 E Mulberry St, Angleton, TX 77515-3954
	(409) 266-1888
	Not Available

Map and Direction

Provider's Profile

Full Name	Jazmin Sam
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1108 E Mulberry St, Angleton, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003542978
Provider Enumeration Date: 07/25/2022
Last Update Date: 07/25/2022

Medicare PECOS Information:

PECOS PAC ID: 8224413307
Enrollment ID: I20220912000561

Medical Identifiers

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

Identifier	Type	State	Issuer
1003542978	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1088298 (Texas)	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. Jazmin Sam allows following entities to bill medicare on her behalf.

Entity Name	Utmb Faculty Group Practice
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438

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. Jazmin 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
Jazmin Sam, FNP 1108 E Mulberry St, Angleton, TX 77515-3954 Ph: () -	Jazmin Sam, FNP 1108 E Mulberry St, Angleton, TX 77515-3954 Ph: (409) 266-1888

Reviews and Comments

Nurse Practitioner Nurses in Angleton, TX

Mrs. Rhonda Kay Croft, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1008 Shady Oaks Dr, Angleton, TX 77515 Phone: 903-399-5182
Ms. Rita Chibuzor Nwajei, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 146 E Hospital Dr Ste 208, Angleton, TX 77515 Phone: 979-848-9110
Patricia Ann Korenek, WHCNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1108 E Mulberry St Ste A, Angleton, TX 77515 Phone: 409-772-2222
Ms. Emily Jane Adamiak, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1108 E Mulberry St Ste A, Angleton, TX 77515 Phone: 409-266-1888 Fax: 281-907-6003
Kayla Faria, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1108 E Mulberry St Ste A, Angleton, TX 77515 Phone: 409-266-1888
Agnes Asamah, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 132 E Hospital Dr, Angleton, TX 77515 Phone: 979-849-7721

Jazmin Sam, FNP - Medicare Nurse Practitioner in Angleton, TX