Samantha Elder, LPN is a
Licensed Practical Nurse based in Decatur, Tennessee. Samantha Elder is licensed to practice in Tennessee (license number 85724) and her current practice location is
608 Elder Hollow Rd, Decatur, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(142) 332-2234.
NPI number for Samantha Elder is 1164272746 and her current mailing address is 608 Elder Hollow Rd, Decatur, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164272746.
Provider's Profile
Full Name | Samantha Elder |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 608 Elder Hollow Rd, Decatur, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164272746
- Provider Enumeration Date: 03/25/2024
- Last Update Date: 03/25/2024
Medical Identifiers
Medical identifiers for Samantha Elder such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164272746 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 85724 (Tennessee) | 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 Elder 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 Elder, LPN 608 Elder Hollow Rd, Decatur, TN 37322-7219 Ph: (142) 332-2234 | Samantha Elder, LPN 608 Elder Hollow Rd, Decatur, TN 37322-7219 Ph: (142) 332-2234 |
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