Ms Samantha Elizabeth Smith, FNP - Medicare Nurse Practitioner in Pilot Mountain, NC

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Ms Samantha Elizabeth Smith, FNP is a medicare enrolled "Nurse Practitioner" in Pilot Mountain, North Carolina. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Forsyth Memorial Hospital Inc and her current practice location is 207 Medical St, Pilot Mountain, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 368-5011.

Ms Samantha Elizabeth Smith is licensed to practice in North Carolina (license number 5013251) 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 1174140776.

Contact Information

Ms Samantha Elizabeth Smith, FNP
207 Medical St,
Pilot Mountain, NC 27041-8656
(336) 368-5011
(336) 368-1424

Map and Direction




Provider's Profile

Full NameMs Samantha Elizabeth Smith
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location207 Medical St, Pilot Mountain, North 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:
  • Ms Samantha Elizabeth Smith graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1174140776
  • Provider Enumeration Date: 06/30/2020
  • Last Update Date: 09/07/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2769809045
  • Enrollment ID: I20200901001966

Medical Identifiers

Medical identifiers for Ms Samantha Elizabeth Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174140776NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 5013251 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Novant Health Forsyth Medical CenterWinston-salem, NCHospital
Northern Regional HospitalMount airy, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Forsyth Memorial Hospital Inc9537071790516

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 Elizabeth Smith allows following entities to bill medicare on her behalf.
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692
Entity NameForsyth Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104548874
PECOS PAC ID: 9537071790
Enrollment ID: O20040405001702
Entity NameNh-cl Clinics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487276499
PECOS PAC ID: 6305262692
Enrollment ID: O20200818000206

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 Elizabeth Smith 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
Ms Samantha Elizabeth Smith, FNP
Po Box 751803,
Charlotte, NC 28275-1803

Ph: () -		Ms Samantha Elizabeth Smith, FNP
207 Medical St,
Pilot Mountain, NC 27041-8656

Ph: (336) 368-5011

Reviews and Comments


Nurse Practitioner Nurses in Pilot Mountain, NC

Mrs. Chrystal Dawn Arrington, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 207 Medical St, Pilot Mountain, NC 27041
Phone: 336-368-5011    Fax: 336-368-1424
Amanda Boles Draughn, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 207 Medical St, Pilot Mountain, NC 27041
Phone: 336-368-5011    Fax: 336-368-1424

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.