Mrs Denise Anne Sample, NP-C in Port Townsend, WA

Mrs Denise Anne Sample, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Port Townsend, Washington. Her current practice location is 834 Sheridan St, Port Townsend, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 385-2200.

Mrs Denise Anne Sample is licensed to practice in North Carolina (license number 5005063) 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 1083919898.

Contact Information

	Mrs Denise Anne Sample, NP-C
	834 Sheridan St, Port Townsend, WA 98368
	(360) 385-2200
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Denise Anne Sample
Gender	Female
Speciality	Nurse Practitioner - Family
Location	834 Sheridan St, Port Townsend, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083919898
Provider Enumeration Date: 01/26/2011
Last Update Date: 05/29/2019

Medicare PECOS Information:

PECOS PAC ID: 5395909683
Enrollment ID: I20170615002500

Medical Identifiers

Medical identifiers for Mrs Denise Anne Sample such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083919898	NPI	-	NPPES
7005925	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5005063 (North Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	5005063 (North Carolina)	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. Mrs Denise Anne Sample allows following entities to bill medicare on her behalf.

Entity Name	Cigna Healthcare Of Arizona Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043471873 PECOS PAC ID: 1456263573 Enrollment ID: O20031105000515

Entity Name	Summit Medical Group Arizona Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053810622 PECOS PAC ID: 3173872835 Enrollment ID: O20180814003015

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. Mrs Denise Anne Sample 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
Mrs Denise Anne Sample, NP-C 834 Sheridan St, Port Townsend, WA 98368-2443 Ph: (360) 385-2200	Mrs Denise Anne Sample, NP-C 834 Sheridan St, Port Townsend, WA 98368 Ph: (360) 385-2200

Reviews and Comments

Nurse Practitioner Nurses in Port Townsend, WA

Macie Ann Booker, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1274 7th St Ste A, Port Townsend, WA 98368 Phone: 360-385-2204 Fax: 360-385-3095
Kathleen D Sayles, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 915 Sheridan St, Port Townsend, WA 98368 Phone: 360-379-8031
Wendy Ann White, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 Sheridan St, Port Townsend, WA 98368 Phone: 360-385-9400 Fax: 360-385-9401
Jane Elizabeth Albee, A.R.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 915 Sheridan St, Suite B103, Port Townsend, WA 98368 Phone: 360-379-8031 Fax: 360-344-4405
Sandra Vanvig, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 740 Quincy St, Port Townsend, WA 98368 Phone: 360-440-6220
Linda J Calderwood, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 W Sims Way Ste 300, Port Townsend, WA 98368 Phone: 360-385-0610

Mrs Denise Anne Sample, NP-C - Medicare Nurse Practitioner in Port Townsend, WA