Mrs Samantha Marie Tabares, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Boling, Texas. Her current practice location is
10555 Fm 1301 Rd, Boling, Texas. You can reach out to her office (for appointments etc.) via phone at
(979) 488-4179.
Mrs Samantha Marie Tabares is licensed to practice in Texas (license number AP144992) 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 1285266726.
Provider's Profile
Full Name | Mrs Samantha Marie Tabares |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 10555 Fm 1301 Rd, Boling, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1285266726
- Provider Enumeration Date: 02/11/2020
- Last Update Date: 05/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 8022235688
- Enrollment ID: I20200514002847
Medical Identifiers
Medical identifiers for Mrs Samantha Marie Tabares such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285266726 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | AP144992 (Texas) | 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 Marie Tabares allows following entities to bill medicare on her behalf.
Entity Name | El Campo Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427334077 PECOS PAC ID: 6406021765 Enrollment ID: O20140813001385 |
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Entity Name | Wound Management Specialists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972150084 PECOS PAC ID: 5193056364 Enrollment ID: O20200610001466 |
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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 Marie Tabares 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 Samantha Marie Tabares, FNP-C 10555 Fm 1301 Rd, Boling, TX 77420-9660 Ph: (979) 488-4179 | Mrs Samantha Marie Tabares, FNP-C 10555 Fm 1301 Rd, Boling, TX 77420-9660 Ph: (979) 488-4179 |
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