Samantha Dorman, PA - Medicare Physician Assistant in Mesa, AZ

Samantha Dorman, PA is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in Mesa, Arizona. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Denova Collaborative Health, Llc and her current practice location is 2204 S Dobson Rd Ste 201, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 230-7373.

Samantha Dorman is licensed to practice in Arizona (license number 5276) 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 1417209644.

Contact Information

Samantha Dorman, PA
2204 S Dobson Rd Ste 201,
Mesa, AZ 85202-6457
(602) 230-7373
(480) 629-8577

Map and Direction




Provider's Profile

Full NameSamantha Dorman
GenderFemale
SpecialityPhysician Assistant
Experience12 Years
Location2204 S Dobson Rd Ste 201, Mesa, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samantha Dorman graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1417209644
  • Provider Enumeration Date: 10/11/2012
  • Last Update Date: 11/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5890947683
  • Enrollment ID: I20121221000126

Medical Identifiers

Medical identifiers for Samantha Dorman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417209644NPI-NPPES
747718MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 5276 (Arizona)Secondary
364SP0808XClinical Nurse Specialist - Psychiatric/mental Health 5276 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Denova Collaborative Health, Llc246643773684

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 Dorman 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 Dorman, PA
3101 N Central Ave Ste 550,
Phoenix, AZ 85012-2635

Ph: (602) 230-7373
Samantha Dorman, PA
2204 S Dobson Rd Ste 201,
Mesa, AZ 85202-6457

Ph: (602) 230-7373

Reviews and Comments


Clinical Nurse Specialist Nurses in Mesa, AZ

Laura Bacon, DNP, APRN-CNS, RNCOB
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 1400 S Dobson Rd, Mesa, AZ 85202
Phone: 480-412-3000    
Cindy Rae Sneller, DNP, RN, CNS
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 8001 E Jaeger St, Mesa, AZ 85207
Phone: 714-264-8560    
Linda Gin, PA-C
Clinical Nurse Specialist
Medicare: Accepting Medicare Assignments
Practice Location: 2204 S Dobson Rd Ste 102, Mesa, AZ 85202
Phone: 602-230-7373    

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.