Mrs Jennifer Lee Samuels, RN, MSN, CPNP in Los Angeles, CA

Mrs Jennifer Lee Samuels, RN, MSN, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Los Angeles, California. Her current practice location is 4650 W Sunset Blvd, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 361-5162.

Mrs Jennifer Lee Samuels is licensed to practice in California (license number 95075527) 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 1265621866.

Contact Information

	Mrs Jennifer Lee Samuels, RN, MSN, CPNP
	4650 W Sunset Blvd, Los Angeles, CA 90027-6062
	(323) 361-5162
	(323) 361-3717

Map and Direction

Provider's Profile

Full Name	Mrs Jennifer Lee Samuels
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	4650 W Sunset Blvd, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265621866
Provider Enumeration Date: 10/18/2007
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 7719069327
Enrollment ID: I20080204000517

Medical Identifiers

Medical identifiers for Mrs Jennifer Lee Samuels such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265621866	NPI	-	NPPES
95075527	Other	CA	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	95075527 (California)	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 Jennifer Lee Samuels allows following entities to bill medicare on her behalf.

Entity Name	Scottsdale Physicians Group Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689799579 PECOS PAC ID: 8325099385 Enrollment ID: O20050207000876

Entity Name	United Telehealth Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760036966 PECOS PAC ID: 5496170185 Enrollment ID: O20200728003220

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 Jennifer Lee Samuels 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 Jennifer Lee Samuels, RN, MSN, CPNP 7975 N Hayden Rd, Ste D354, Scottsdale, AZ 85258-3243 Ph: (323) 361-3550	Mrs Jennifer Lee Samuels, RN, MSN, CPNP 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 Ph: (323) 361-5162

Reviews and Comments

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Mrs Jennifer Lee Samuels, RN, MSN, CPNP - Medicare Nurse Practitioner in Los Angeles, CA