Mrs Samantha C Willard, APRN, FNP-C - Medicare Nurse Practitioner in Johnsonville, SC

  1. Home
  2. Nurse Practitioner
  3. SC
  4. Johnsonville
Mrs Samantha C Willard, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Johnsonville, South Carolina. She went to University Of South Carolina School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mcleod Health Clarendon, Mcleod Physician Associates Ii and her current practice location is 355 S Georgetown Hwy, Johnsonville, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 380-2000.

Mrs Samantha C Willard is licensed to practice in South Carolina (license number 19580) 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 1730562810.

Contact Information

Mrs Samantha C Willard, APRN, FNP-C
355 S Georgetown Hwy,
Johnsonville, SC 29555-8083
(843) 380-2000
(843) 380-2014

Map and Direction




Provider's Profile

Full NameMrs Samantha C Willard
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location355 S Georgetown Hwy, Johnsonville, South Carolina
Accepts Medicare AssignmentsYes. 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 Samantha C Willard attended and graduated from University Of South Carolina School Of Medicine in 2015
  NPI Data:
  • NPI Number: 1730562810
  • Provider Enumeration Date: 07/07/2015
  • Last Update Date: 09/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6204144009
  • Enrollment ID: I20150928002615

Medical Identifiers

Medical identifiers for Mrs Samantha C Willard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730562810NPI-NPPES
NP3342MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 19580 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mcleod Health ClarendonManning, SCHospital
Mcleod Regional Medical Center-pee DeeFlorence, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mcleod Health Clarendon084058265661
Mcleod Physician Associates Ii8224031307543

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 C Willard allows following entities to bill medicare on her behalf.
Entity NameDoctors Care, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366499048
PECOS PAC ID: 6204731300
Enrollment ID: O20040112000069
Entity NameCaresouth Carolina Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720082571
PECOS PAC ID: 1052221314
Enrollment ID: O20040511000280
Entity NameMcleod Physician Associates Ii
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801990494
PECOS PAC ID: 8224031307
Enrollment ID: O20060926000568
Entity NameLowcountry Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326364100
PECOS PAC ID: 9739210337
Enrollment ID: O20100625000517
Entity NameMcleod Health Clarendon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508218793
PECOS PAC ID: 0840582656
Enrollment ID: O20160915000930

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 C Willard 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 C Willard, APRN, FNP-C
Po Box 3239,
Florence, SC 29502-3239

Ph: (843) 777-7120		Mrs Samantha C Willard, APRN, FNP-C
355 S Georgetown Hwy,
Johnsonville, SC 29555-8083

Ph: (843) 380-2000

Reviews and Comments


Nurse Practitioner Nurses in Johnsonville, SC

Katelyn Hanna Rogers, MSN, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 355 S Georgetown Hwy, Johnsonville, SC 29555
Phone: 843-380-2000    Fax: 843-380-2014
Mrs. Chloe Hinson Martin, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 355 S Georgetown Hwy, Johnsonville, SC 29555
Phone: 843-380-2000    Fax: 843-380-2014

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.