Mrs Samantha Blain Sisco, NP - Medicare Nurse Practitioner in Jeffersonvlle, IN

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Mrs Samantha Blain Sisco, NP is a medicare enrolled "Nurse Practitioner - Family" in Jeffersonvlle, Indiana. Her current practice location is 1701 Spring St Ste B, Jeffersonvlle, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 284-2273.

Mrs Samantha Blain Sisco is licensed to practice in Indiana (license number 71012972A) 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 1295228427.

Contact Information

Mrs Samantha Blain Sisco, NP
1701 Spring St Ste B,
Jeffersonvlle, IN 47130-2930
(812) 284-2273
(812) 284-2279

Map and Direction




Provider's Profile

Full NameMrs Samantha Blain Sisco
GenderFemale
SpecialityNurse Practitioner - Family
Location1701 Spring St Ste B, Jeffersonvlle, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295228427
  • Provider Enumeration Date: 06/12/2018
  • Last Update Date: 11/09/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4082080643
  • Enrollment ID: I20221022000037

Medical Identifiers

Medical identifiers for Mrs Samantha Blain Sisco such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295228427NPI-NPPES
71012972AOtherINLICENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 28202222A (Indiana)Secondary
363LF0000XNurse Practitioner - Family 71012972A (Indiana)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 Samantha Blain Sisco allows following entities to bill medicare on her behalf.
Entity NameTotal Care Family Practice Rick Bobay Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356674162
PECOS PAC ID: 5991844631
Enrollment ID: O20091209000326
Entity NameSound Physicians Of Indiana, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528311149
PECOS PAC ID: 4981841780
Enrollment ID: O20130515000624

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 Samantha Blain Sisco 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 AddressPractice Location Address
Mrs Samantha Blain Sisco, NP
1417 County Road 750 E,
Carmi, IL 62821-4830

Ph: (618) 384-9533		Mrs Samantha Blain Sisco, NP
1701 Spring St Ste B,
Jeffersonvlle, IN 47130-2930

Ph: (812) 284-2273

Reviews and Comments


Nurse Practitioner Nurses in Jeffersonvlle, IN


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.