Nincy George Samuel, PA-C in Fort Worth, TX - Medicare Physician Assistant

Nincy George Samuel, PA-C is a medicare enrolled "Physician Assistant" in Fort Worth, Texas. Her current practice location is 6451 Brentwood Stair Rd, #200, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 469-9700.

Nincy George Samuel is licensed to practice in Texas (license number PA10220) 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 1710352182.

Contact Information

	Nincy George Samuel, PA-C
	6451 Brentwood Stair Rd, #200, Fort Worth, TX 76112-3200
	(817) 469-9700
	(817) 469-9889

Map and Direction

Provider's Profile

Full Name	Nincy George Samuel
Gender	Female
Speciality	Physician Assistant
Location	6451 Brentwood Stair Rd, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710352182
Provider Enumeration Date: 12/10/2015
Last Update Date: 12/10/2015

Medicare PECOS Information:

PECOS PAC ID: 2163726092
Enrollment ID: I20160212000779

Medical Identifiers

Medical identifiers for Nincy George Samuel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710352182	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA10220 (Texas)	Primary

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. Nincy George Samuel 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
Nincy George Samuel, PA-C 1512 Ector Dr, Carrollton, TX 75010-6406 Ph: () -	Nincy George Samuel, PA-C 6451 Brentwood Stair Rd, #200, Fort Worth, TX 76112-3200 Ph: (817) 469-9700

Reviews and Comments

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Nincy George Samuel, PA-C - Medicare Physician Assistant in Fort Worth, TX