Kendra Iesha Samuel, FNP in Wiggins, MS - Medicare Nurse Practitioner

Kendra Iesha Samuel, FNP is a medicare enrolled "Nurse Practitioner - Family" in Wiggins, Mississippi. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Memorial Hospital At Gulfport and her current practice location is 1434 Central Ave E, Wiggins, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 928-6600.

Kendra Iesha Samuel is licensed to practice in Mississippi (license number 902802) 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 1386125383.

Contact Information

	Kendra Iesha Samuel, FNP
	1434 Central Ave E, Wiggins, MS 39577-9602
	(601) 928-6600
	Not Available

Map and Direction

Provider's Profile

Full Name	Kendra Iesha Samuel
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	1434 Central Ave E, Wiggins, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kendra Iesha Samuel graduated from nursing school in 2018

NPI Data:

NPI Number: 1386125383
Provider Enumeration Date: 08/27/2018
Last Update Date: 10/22/2020

Medicare PECOS Information:

PECOS PAC ID: 5395086904
Enrollment ID: I20190426002348

Medical Identifiers

Medical identifiers for Kendra Iesha Samuel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386125383	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	902802 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital At Gulfport	Gulfport, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Memorial Hospital At Gulfport	2466524012	385

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. Kendra Iesha Samuel allows following entities to bill medicare on her behalf.

Entity Name	Memorial Hospital At Gulfport
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396

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. Kendra Iesha Samuel 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
Kendra Iesha Samuel, FNP 1434 Central Ave E, Wiggins, MS 39577-9602 Ph: (601) 928-6600	Kendra Iesha Samuel, FNP 1434 Central Ave E, Wiggins, MS 39577-9602 Ph: (601) 928-6600

Reviews and Comments

Nurse Practitioner Nurses in Wiggins, MS

James Jason Rogers, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1434 Central Ave E, Wiggins, MS 39577 Phone: 601-928-6600
Hannah Leigh Fore, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1434 Central Ave E, Wiggins, MS 39577 Phone: 601-928-6600 Fax: 601-928-6653
Charles Ray Strange Iii, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1130 Frontage Dr W, Wiggins, MS 39577 Phone: 601-716-8012 Fax: 601-716-8013
Dr. William Bryan Gibboney, DNP, FNP-C, ACNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1434 Central Ave E, Wiggins, MS 39577 Phone: 228-436-1191
Ms. Rebecca Harris, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1440 Central Ave E, Wiggins, MS 39577 Phone: 601-928-6700 Fax: 601-928-6731
Lycel Parmosa Nall, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 87 S Mcgregor Rd, Wiggins, MS 39577 Phone: 601-716-5189
Mrs. Glynnis D Randall, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 975 Hall St, Wiggins, MS 39577 Phone: 601-528-9119 Fax: 601-528-9193

Kendra Iesha Samuel, FNP - Medicare Nurse Practitioner in Wiggins, MS