Samantha Anne Koski, is a
Pediatrics based in Henderson, Nevada. Samantha Anne Koski is licensed to practice in Nevada (license number PA3162) and her current practice location is
871 Coronado Center Dr Ste 141, Henderson, Nevada. She can be reached at her office (for appointments etc.) via phone at
(702) 566-2400.
NPI number for Samantha Anne Koski is 1790595197 and her current mailing address is 2804 Turnstone Ridge St, Henderson, Nevada. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790595197.
Provider's Profile
| Full Name | Samantha Anne Koski |
|---|
| Gender | Female |
|---|
| Speciality | Pediatrics |
|---|
| Location | 871 Coronado Center Dr Ste 141, Henderson, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1790595197
- Provider Enumeration Date: 01/09/2025
- Last Update Date: 01/15/2025
Medical Identifiers
Medical identifiers for Samantha Anne Koski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790595197 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | (Nevada) | Secondary |
| 208000000X | Pediatrics | PA3162 (Nevada) | 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. Samantha Anne Koski is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Samantha Anne Koski,
2804 Turnstone Ridge St,
Henderson, NV 89044-1704
Ph: (702) 769-4597 | Samantha Anne Koski,
871 Coronado Center Dr Ste 141,
Henderson, NV 89052-3977
Ph: (702) 566-2400 |
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