Samantha Blakeslee, NP - Medicare Nurse Practitioner in Fairfax, VA

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Samantha Blakeslee, NP is a medicare enrolled "Nurse Practitioner - Family" in Fairfax, Virginia. Her current practice location is 13031 Lee Jackson Hwy, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 378-7550.

Samantha Blakeslee is licensed to practice in Virginia (license number 0024179636) 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 1750990511.

Contact Information

Samantha Blakeslee, NP
13031 Lee Jackson Hwy,
Fairfax, VA 22033-2050
(703) 378-7550
Not Available

Map and Direction




Provider's Profile

Full NameSamantha Blakeslee
GenderFemale
SpecialityNurse Practitioner - Family
Location13031 Lee Jackson Hwy, Fairfax, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750990511
  • Provider Enumeration Date: 07/28/2020
  • Last Update Date: 07/28/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7416376215
  • Enrollment ID: I20200929000095

Medical Identifiers

Medical identifiers for Samantha Blakeslee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750990511NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0024179636 (Virginia)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 Blakeslee allows following entities to bill medicare on her behalf.
Entity NamePhysical Medicine Associates Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003884560
PECOS PAC ID: 4981688835
Enrollment ID: O20040617000167
Entity NameMinuteclinic Diagnostic Of Virginia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417076829
PECOS PAC ID: 6709960891
Enrollment ID: O20090123000189

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 Blakeslee 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
Samantha Blakeslee, NP
43599 Barretts Sq,
Ashburn, VA 20147-7013

Ph: (585) 729-7578		Samantha Blakeslee, NP
13031 Lee Jackson Hwy,
Fairfax, VA 22033-2050

Ph: (703) 378-7550

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.