Mary Samantha Pailes, NP in Southlake, TX - Medicare Nurse Practitioner

Mary Samantha Pailes, NP is a medicare enrolled "Nurse Practitioner - Family" in Southlake, Texas. Her current practice location is 620 North Kimball Avenue, Suite100, Southlake, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 328-8376.

Mary Samantha Pailes is licensed to practice in Texas (license number 709408) 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 1528498433.

Contact Information

	Mary Samantha Pailes, NP
	620 North Kimball Avenue, Suite100, Southlake, TX 76092-6173
	(817) 328-8376
	Not Available

Map and Direction

Provider's Profile

Full Name	Mary Samantha Pailes
Gender	Female
Speciality	Nurse Practitioner - Family
Location	620 North Kimball Avenue, Southlake, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528498433
Provider Enumeration Date: 11/14/2013
Last Update Date: 08/29/2023

Medicare PECOS Information:

PECOS PAC ID: 3274984265
Enrollment ID: I20240103003565

Medical Identifiers

Medical identifiers for Mary Samantha Pailes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528498433	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	709408 (Texas)	Secondary
363LF0000X	Nurse Practitioner - Family	709408 (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. Mary Samantha Pailes allows following entities to bill medicare on her behalf.

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190520001486

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. Mary Samantha Pailes 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
Mary Samantha Pailes, NP 620 N Kimball Ave Suite 100, Southlake, TX 76092-6173 Ph: (817) 328-8376	Mary Samantha Pailes, NP 620 North Kimball Avenue, Suite100, Southlake, TX 76092-6173 Ph: (817) 328-8376

Reviews and Comments

Nurse Practitioner Nurses in Southlake, TX

Carmen Santiago, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1110 N Carroll Ave, Southlake, TX 76092 Phone: 817-310-1100 Fax: 817-310-1197
Nikita Greenwood, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1920 E State Highway 114, Southlake, TX 76092 Phone: 817-442-5698
Janice F Rubbelke, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 E Southlake Blvd, Suite 200, Southlake, TX 76092 Phone: 817-488-1956 Fax: 817-488-8675
Mona Lisa Jimenez, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 431 E State Highway 114 Fl 1, Southlake, TX 76092 Phone: 844-824-8775
Britney Molini, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1050 E State Highway 114 Ste 100, Southlake, TX 76092 Phone: 817-329-8364
Andrew Sadousky, MS, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 250 Miron Dr, Southlake, TX 76092 Phone: 817-328-3000
Pete C Bravo Jr., FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2777 E Southlake Blvd Ste 140, Southlake, TX 76092 Phone: 817-686-8104

Mary Samantha Pailes, NP - Medicare Nurse Practitioner in Southlake, TX