Samantha Ann Stevens, FNP in O Fallon, MO - Medicare Nurse Practitioner

Samantha Ann Stevens, FNP is a medicare enrolled "Nurse Practitioner" in O Fallon, Missouri. Her current practice location is 9323 Phoenix Village Pkwy, O Fallon, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 561-0871.

Samantha Ann Stevens is licensed to practice in Missouri (license number 2022045059) 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 1700597002.

Contact Information

	Samantha Ann Stevens, FNP
	9323 Phoenix Village Pkwy, O Fallon, MO 63368-4281
	(636) 561-0871
	Not Available

Map and Direction

Provider's Profile

Full Name	Samantha Ann Stevens
Gender	Female
Speciality	Nurse Practitioner
Location	9323 Phoenix Village Pkwy, O Fallon, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700597002
Provider Enumeration Date: 12/07/2022
Last Update Date: 10/31/2023

Medicare PECOS Information:

PECOS PAC ID: 4385013002
Enrollment ID: I20221219002566

Medical Identifiers

Medical identifiers for Samantha Ann Stevens such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700597002	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2022045059 (Missouri)	Secondary
363L00000X	Nurse Practitioner	2022045059 (Missouri)	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. Samantha Ann Stevens allows following entities to bill medicare on her behalf.

Entity Name	Signature Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871542761 PECOS PAC ID: 4880598291 Enrollment ID: O20031204000173

Entity Name	Physician Groups Lc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285664268 PECOS PAC ID: 3072421254 Enrollment ID: O20040220001157

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. Samantha Ann Stevens 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
Samantha Ann Stevens, FNP 9323 Phoenix Village Pkwy, O Fallon, MO 63368-4281 Ph: (636) 561-0871	Samantha Ann Stevens, FNP 9323 Phoenix Village Pkwy, O Fallon, MO 63368-4281 Ph: (636) 561-0871

Reviews and Comments

Nurse Practitioner Nurses in O Fallon, MO

Mrs. Shannon M Wood, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9209 Phoenix Village Pkwy, O Fallon, MO 63368 Phone: 636-561-4613 Fax: 636-561-4610
Leah W Wangui, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 Mystic Cv, O Fallon, MO 63368 Phone: 314-583-4665
Mrs. Dawn Marie Johns, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 N Main St, O Fallon, MO 63366 Phone: 314-687-2731
Brooke Lauren Meyer, RN, MSN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Winding Woods Dr Ste 101, O Fallon, MO 63366 Phone: 636-978-7902
Mrs. Christina Marie Ivy, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2765 Red Cedar Parc Dr S, O Fallon, MO 63368 Phone: 636-248-8072
Elizabeth Vollmar, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Highway K, O Fallon, MO 63366 Phone: 636-379-6363
Gloria Michelle Paul Edacheril, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 Progress Point Pkwy Ste 108, O Fallon, MO 63368 Phone: 636-344-2400 Fax: 636-344-2401

Samantha Ann Stevens, FNP - Medicare Nurse Practitioner in O Fallon, MO