Keilen Leigh-ann Sam, - Medicare Nurse Practitioner in Dunkirk, NY

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Keilen Leigh-ann Sam, is a medicare enrolled "Nurse Practitioner - Family" in Dunkirk, New York. Her current practice location is 3898 Vineyard Dr, Dunkirk, New York. You can reach out to her office (for appointments etc.) via phone at (716) 363-2233.

Keilen Leigh-ann Sam is licensed to practice in New York (license number F341921-1) 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 1114442167.

Contact Information

Keilen Leigh-ann Sam,
3898 Vineyard Dr,
Dunkirk, NY 14048-3559
(716) 363-2233
Not Available

Map and Direction




Provider's Profile

Full NameKeilen Leigh-ann Sam
GenderFemale
SpecialityNurse Practitioner - Family
Location3898 Vineyard Dr, Dunkirk, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114442167
  • Provider Enumeration Date: 08/11/2017
  • Last Update Date: 06/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3173889425
  • Enrollment ID: I20171102001888

Medical Identifiers

Medical identifiers for Keilen Leigh-ann Sam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114442167NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 646460-1 (New York)Secondary
363LF0000XNurse Practitioner - Family F341921-1 (New York)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. Keilen Leigh-ann Sam allows following entities to bill medicare on her behalf.
Entity NameGeneral Physician Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093959322
PECOS PAC ID: 9537213079
Enrollment ID: O20090818000154

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. Keilen Leigh-ann 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 AddressPractice Location Address
Keilen Leigh-ann Sam,
908 Niagara Falls Blvd Ste 208,
North Tonawanda, NY 14120-2019

Ph: (716) 692-2160		Keilen Leigh-ann Sam,
3898 Vineyard Dr,
Dunkirk, NY 14048-3559

Ph: (716) 363-2233

Reviews and Comments


Nurse Practitioner Nurses in Dunkirk, NY

Deborah Bush, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 504 Central Ave, Dunkirk, NY 14048
Phone: 716-366-9008    Fax: 716-366-3158
Nina Serene Currie,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 75 E 3rd St, Dunkirk, NY 14048
Phone: 716-363-6050    Fax: 833-974-1992
Mr. James R Urgo, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 310 Central Ave Ste B, Dunkirk, NY 14048
Phone: 716-363-6050    
Mrs. Kristina Marie Christopher, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 744 Central Ave, Dunkirk, NY 14048
Phone: 716-785-1580    
Allan Aldrich Jamora Ocampo, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 75 E 3rd St, Dunkirk, NY 14048
Phone: 716-363-6050    Fax: 833-974-1992
Mrs. Laura A Lack, AGPCPNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 75 E 3rd St, Dunkirk, NY 14048
Phone: 716-363-6050    Fax: 833-974-1992
Cynthia Carlson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10836 Temple Rd, Dunkirk, NY 14048
Phone: 716-366-6400    

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.