Ms Samantha J Barry, ARNP - Medicare Nurse Practitioner in Jacksonville, FL

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Ms Samantha J Barry, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Jacksonville, Florida. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Legacy Healthcare Services Inc, Millennium Physician Group Llc and her current practice location is 11512 Lake Mead Ave Unit 521, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 807-9747.

Ms Samantha J Barry is licensed to practice in Florida (license number F02180642) 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 1023515418.

Contact Information

Ms Samantha J Barry, ARNP
11512 Lake Mead Ave Unit 521,
Jacksonville, FL 32256-5835
(904) 807-9747
(904) 902-1199

Map and Direction




Provider's Profile

Full NameMs Samantha J Barry
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location11512 Lake Mead Ave Unit 521, Jacksonville, Florida
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 J Barry graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1023515418
  • Provider Enumeration Date: 04/11/2018
  • Last Update Date: 05/31/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2062760846
  • Enrollment ID: I20180810001095

Medical Identifiers

Medical identifiers for Ms Samantha J Barry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023515418NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F02180642 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Healthcare Services Inc21633397223341
Millennium Physician Group Llc9830244433789

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 J Barry allows following entities to bill medicare on her behalf.
Entity NameSt Vincent's Ambulatory Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417987124
PECOS PAC ID: 2860411188
Enrollment ID: O20051116000430
Entity NameMillennium Physician Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811122880
PECOS PAC ID: 9830244433
Enrollment ID: O20090903000338

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 J Barry 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 J Barry, ARNP
2675 Winkler Ave Fl 2,
Fort Myers, FL 33901-9342

Ph: (877) 856-3774		Ms Samantha J Barry, ARNP
11512 Lake Mead Ave Unit 521,
Jacksonville, FL 32256-5835

Ph: (904) 807-9747

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).

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.