Ms Samantha F Frederick, NP-C - Medicare Nurse Practitioner in Canton, GA

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Ms Samantha F Frederick, NP-C is a medicare enrolled "Nurse Practitioner" in Canton, Georgia. Her current practice location is 228 Riverstone Dr, Canton, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 479-1870.

Ms Samantha F Frederick is licensed to practice in Georgia (license number RN203567) 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 1124614631.

Contact Information

Ms Samantha F Frederick, NP-C
228 Riverstone Dr,
Canton, GA 30114-5256
(770) 479-1870
(770) 479-9705

Map and Direction




Provider's Profile

Full NameMs Samantha F Frederick
GenderFemale
SpecialityNurse Practitioner
Location228 Riverstone Dr, Canton, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124614631
  • Provider Enumeration Date: 12/18/2020
  • Last Update Date: 09/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0143635367
  • Enrollment ID: I20210222002362

Medical Identifiers

Medical identifiers for Ms Samantha F Frederick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124614631NPI-NPPES
G24488AOtherGAMEDICARE PTAN
003245264AMedicaidGA
003245264BMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner RN203567 (Georgia)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 F Frederick allows following entities to bill medicare on her behalf.
Entity NameNsh Cancer Institute Professional Services G Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144571381
PECOS PAC ID: 0840443164
Enrollment ID: O20130128000225

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 F Frederick 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 F Frederick, NP-C
1835 Savoy Dr Ste 300,
Atlanta, GA 30341-1071

Ph: (678) 288-9555		Ms Samantha F Frederick, NP-C
228 Riverstone Dr,
Canton, GA 30114-5256

Ph: (770) 479-1870

Reviews and Comments


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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).

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