Ms Samantha D Sixieme, ANP in Clarksville, TN

Ms Samantha D Sixieme, ANP is a medicare enrolled "Nurse Practitioner - Family" in Clarksville, Tennessee. Her current practice location is 2237 Lowes Dr W Ste A, Clarksville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 272-2446.

Ms Samantha D Sixieme is licensed to practice in Tennessee (license number 15242) 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 1134427644.

Contact Information

	Ms Samantha D Sixieme, ANP
	2237 Lowes Dr W Ste A, Clarksville, TN 37040-6891
	(931) 272-2446
	(855) 530-6144

Map and Direction

Provider's Profile

Full Name	Ms Samantha D Sixieme
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2237 Lowes Dr W Ste A, Clarksville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134427644
Provider Enumeration Date: 03/08/2011
Last Update Date: 05/26/2022

Medicare PECOS Information:

PECOS PAC ID: 4082883186
Enrollment ID: I20110805000657

Medical Identifiers

Medical identifiers for Ms Samantha D Sixieme such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134427644	NPI	-	NPPES
Q049160	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0024171266 (Virginia)	Secondary
363LF0000X	Nurse Practitioner - Family	15242 (Tennessee)	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. Ms Samantha D Sixieme allows following entities to bill medicare on her behalf.

Entity Name	Restoring Health Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942766225 PECOS PAC ID: 7416297452 Enrollment ID: O20190328003081

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. Ms Samantha D Sixieme 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
Ms Samantha D Sixieme, ANP 2237 Lowes Dr W Ste A, Clarksville, TN 37040-6891 Ph: (931) 272-2446	Ms Samantha D Sixieme, ANP 2237 Lowes Dr W Ste A, Clarksville, TN 37040-6891 Ph: (931) 272-2446

Reviews and Comments

Nurse Practitioner Nurses in Clarksville, TN

Amber L Schacht, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 881 Professional Park Dr, Clarksville, TN 37040 Phone: 931-645-4685 Fax: 931-245-2117
Mrs. Brittney Wilkinson Lesser, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 647 Dunlop Ln Ste 301, Clarksville, TN 37040 Phone: 931-431-4677
Katherine R Harrison, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Weatherly, Suite 201, Clarksville, TN 37043 Phone: 931-648-1912 Fax: 931-648-1277
Ms. Elizabeth Bator, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 Ted A Crozr Blvd Ste A, Clarksville, TN 37043 Phone: 931-538-3039 Fax: 931-245-5484
Danielle Reine Schaaf, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 Pageant Ln Ste 307, Clarksville, TN 37040 Phone: 931-906-2001
Willie Lance Lemusu, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 103 Jefferson St, Clarksville, TN 37040 Phone: 931-266-4999
Jennifer A Nelson, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 111 Otis Smith Dr, Clarksville, TN 37043 Phone: 931-553-6666 Fax: 931-553-4006

Ms Samantha D Sixieme, ANP - Medicare Nurse Practitioner in Clarksville, TN