Mrs Traci Dawn Sambolin, NP in Columbia, MO - Medicare Nurse Practitioner

Mrs Traci Dawn Sambolin, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Columbia, Missouri. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Camden Emergency Group Llc and her current practice location is 1 Hospital Dr # Ce306, Columbia, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 882-8863.

Mrs Traci Dawn Sambolin is licensed to practice in Missouri (license number 2013017560) 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 1457668295.

Contact Information

	Mrs Traci Dawn Sambolin, NP
	1 Hospital Dr # Ce306, Columbia, MO 65212-3050
	(573) 882-8863
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Traci Dawn Sambolin
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	1 Hospital Dr # Ce306, Columbia, Missouri
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 Traci Dawn Sambolin graduated from nursing school in 2013

NPI Data:

NPI Number: 1457668295
Provider Enumeration Date: 08/31/2010
Last Update Date: 02/21/2023

Medicare PECOS Information:

PECOS PAC ID: 8224270897
Enrollment ID: I20130809000690

Medical Identifiers

Medical identifiers for Mrs Traci Dawn Sambolin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457668295	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2013017560 (Missouri)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	2013017560 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Missouri Health Care	Columbia, MO	Hospital
Lake Regional Health System	Osage beach, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Camden Emergency Group Llc	2961665369	14

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 Traci Dawn Sambolin allows following entities to bill medicare on her behalf.

Entity Name	Camden Emergency Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003181637 PECOS PAC ID: 2961665369 Enrollment ID: O20120523000037

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 Traci Dawn Sambolin 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 Traci Dawn Sambolin, NP 1 Hospital Dr # Ce306, Columbia, MO 65212-1000 Ph: (573) 882-8863	Mrs Traci Dawn Sambolin, NP 1 Hospital Dr # Ce306, Columbia, MO 65212-3050 Ph: (573) 882-8863

Reviews and Comments

Nurse Practitioner Nurses in Columbia, MO

Diana L Erion, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 E Broadway, Columbia, MO 65201 Phone: 573-875-8838 Fax: 573-875-8589
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Sheila Marie Struckmeyer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-884-4400 Fax: 573-884-5994
Lauren Taylor Vollrath, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1020 Hitt St, Columbia, MO 65212 Phone: 573-499-6041 Fax: 573-499-6091
Janis M Sears, APN-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 800 Hospital Dr, Columbia, MO 65201 Phone: 573-814-6000
Elisa M Amspacher, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1101 Hospital Drive, Columbia, MO 65212 Phone: 573-882-3106 Fax: 573-882-1760

Mrs Traci Dawn Sambolin, NP - Medicare Nurse Practitioner in Columbia, MO