Mrs Jeuelle M Ottley Sam, PA-C in Takoma Park, MD

Mrs Jeuelle M Ottley Sam, PA-C is a medicare enrolled "Physician Assistant" in Takoma Park, Maryland. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Mind And Soul Telewellness Llc, Thriving Lane and her current practice location is 7610 Carroll Ave, Suite 200, Takoma Park, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 891-2077.

Mrs Jeuelle M Ottley Sam is licensed to practice in Maryland (license number C0002743) 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 1740341924.

Contact Information

	Mrs Jeuelle M Ottley Sam, PA-C
	7610 Carroll Ave, Suite 200, Takoma Park, MD 20912-6384
	(301) 891-2077
	(301) 891-2080

Map and Direction

Provider's Profile

Full Name	Mrs Jeuelle M Ottley Sam
Gender	Female
Speciality	Physician Assistant
Experience	4 Years
Location	7610 Carroll Ave, Takoma Park, Maryland
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:

Mrs Jeuelle M Ottley Sam graduated from nursing school in 2021

NPI Data:

NPI Number: 1740341924
Provider Enumeration Date: 12/12/2006
Last Update Date: 03/05/2021

Medicare PECOS Information:

PECOS PAC ID: 7315367216
Enrollment ID: I20210318000042

Medical Identifiers

Medical identifiers for Mrs Jeuelle M Ottley Sam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740341924	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	C0002743 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mind And Soul Telewellness Llc	8123350576	2
Thriving Lane	1355741083	11

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 Jeuelle M Ottley Sam 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 Jeuelle M Ottley Sam, PA-C 6 Park Center Ct, Ste 210, Owings Mills, MD 21117-5604 Ph: (443) 953-8922	Mrs Jeuelle M Ottley Sam, PA-C 7610 Carroll Ave, Suite 200, Takoma Park, MD 20912-6384 Ph: (301) 891-2077

Reviews and Comments

Physician Assistant Nurses in Takoma Park, MD

Mr. Jason Robert Barfuss, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7600 Carroll Ave, Takoma Park, MD 20912 Phone: 301-891-7600
Rebecca Murphy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7600 Carroll Ave, Takoma Park, MD 20912 Phone: 301-891-7600
Allyson L Conley, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7600 Carroll Avenue, Washington Adventist Hospital, Takoma Park, MD 20912 Phone: 301-891-5070 Fax: 301-891-5132
Mrs. Julia Berman Grossman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7600 Carroll Ave, Takoma Park, MD 20912 Phone: 301-891-5447
Brinton B Jackson, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7600 Carroll Ave, Takoma Park, MD 20912 Phone: 301-891-5070 Fax: 301-891-5132
Mr. Brian Deori, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7600 Carroll Ave, Takoma Park, MD 20912 Phone: 301-891-7600
Mr. Daniel Shiferaw, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7600 Carroll Ave, Takoma Park, MD 20912 Phone: 301-891-7600

Mrs Jeuelle M Ottley Sam, PA-C - Medicare Physician Assistant in Takoma Park, MD