Samantha E Fish, APRN in Jacksonville, FL - Medicare Nurse Practitioner

Samantha E Fish, APRN is a medicare enrolled "Nurse Practitioner - Adult Health" in Jacksonville, Florida. Her current practice location is 7015 A C Skinner Pkwy Bldg 100, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 516-3737.

Samantha E Fish is licensed to practice in Florida (license number APRN11028155) 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 1750165262.

Contact Information

	Samantha E Fish, APRN
	7015 A C Skinner Pkwy Bldg 100, Jacksonville, FL 32256-6932
	(904) 516-3737
	(904) 516-3738

Map and Direction

Provider's Profile

Full Name	Samantha E Fish
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	7015 A C Skinner Pkwy Bldg 100, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750165262
Provider Enumeration Date: 08/24/2023
Last Update Date: 08/24/2023

Medicare PECOS Information:

PECOS PAC ID: 3274997010
Enrollment ID: I20230913001541

Medical Identifiers

Medical identifiers for Samantha E Fish such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750165262	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	APRN11028155 (Florida)	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 E Fish allows following entities to bill medicare on her behalf.

Entity Name	Cancer Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528323268 PECOS PAC ID: 9133377948 Enrollment ID: O20120920000454

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 E Fish 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 E Fish, APRN 7015 A C Skinner Pkwy Ste 1, Jacksonville, FL 32256-6932 Ph: (904) 363-2113	Samantha E Fish, APRN 7015 A C Skinner Pkwy Bldg 100, Jacksonville, FL 32256-6932 Ph: (904) 516-3737

Reviews and Comments

Nurse Practitioner Nurses in Jacksonville, FL

Mrs. Rhode L. Jean-aleger, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10075 Gate Pkwy N Apt 102, Jacksonville, FL 32246 Phone: 904-997-9844 Fax: 904-997-9844
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Shannon Kathleen Burns, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Christy Mcewen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 836 Prudential Dr Ste 1700b, Unit 1, Jacksonville, FL 32207 Phone: 904-398-0125 Fax: 904-389-1832
Danielle Harper Key, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4425 Merrimac Ave, Jacksonville, FL 32210 Phone: 904-346-0050 Fax: 904-346-0080

Samantha E Fish, APRN - Medicare Nurse Practitioner in Jacksonville, FL