Miss Samantha J Pcola, PA-C is a medicare enrolled "Physician Assistant" in Star, North Carolina. Her current practice location is
103 Cotton Creek Rd, Star, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 492-4646.
Miss Samantha J Pcola is licensed to practice in North Carolina (license number 0010-14544) 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 1043053127.
Provider's Profile
Full Name | Miss Samantha J Pcola |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 103 Cotton Creek Rd, Star, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043053127
- Provider Enumeration Date: 06/17/2024
- Last Update Date: 09/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 5496280448
- Enrollment ID: I20241127001752
Medical Identifiers
Medical identifiers for Miss Samantha J Pcola such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043053127 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 0010-14544 (North Carolina) | Primary |
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. Miss Samantha J Pcola 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 |
Miss Samantha J Pcola, PA-C Po Box 187, Faison, NC 28341-0187 Ph: (910) 267-2042 | Miss Samantha J Pcola, PA-C 103 Cotton Creek Rd, Star, NC 27356-7954 Ph: (910) 492-4646 |
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