Samantha Capoeman, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Taholah, Washington. She went to Washington University School Of Medicine and graduated in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Quinault Indian Nation and her current practice location is
1505 Kla Ook Wa Drive, Taholah, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 276-4405.
Samantha Capoeman is licensed to practice in Washington (license number AP61524137) 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 1184480741.
Provider's Profile
| Full Name | Samantha Capoeman |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 1505 Kla Ook Wa Drive, Taholah, Washington |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Samantha Capoeman attended and graduated from Washington University School Of Medicine in 2023
NPI Data:
- NPI Number: 1184480741
- Provider Enumeration Date: 02/22/2024
- Last Update Date: 02/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 1850829482
- Enrollment ID: I20250110001059
Medical Identifiers
Medical identifiers for Samantha Capoeman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1184480741 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | AP61524137 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Quinault Indian Nation | 0446147086 | 5 |
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 Capoeman allows following entities to bill medicare on her behalf.
| Entity Name | Quinault Indian Nation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093888547
PECOS PAC ID: 0446147086
Enrollment ID: O20040301000160 |
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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 Capoeman 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 |
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Samantha Capoeman, ARNP
Po Box 219,
Taholah, WA 98587-0219
Ph: () - | Samantha Capoeman, ARNP
1505 Kla Ook Wa Drive,
Taholah, WA 98587
Ph: (360) 276-4405 |
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