Samantha Grace Boren, PMHNP-BC in Corinth, MS

Samantha Grace Boren, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Corinth, Mississippi. Her current practice location is 601 Foote St, Corinth, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 286-9883.

Samantha Grace Boren is licensed to practice in Mississippi (license number BORE-TLLM8M) 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 1245910298.

Contact Information

	Samantha Grace Boren, PMHNP-BC
	601 Foote St, Corinth, MS 38834-4834
	(662) 286-9883
	Not Available

Map and Direction

Provider's Profile

Full Name	Samantha Grace Boren
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	601 Foote St, Corinth, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245910298
Provider Enumeration Date: 07/24/2023
Last Update Date: 08/25/2023

Medicare PECOS Information:

PECOS PAC ID: 4587009501
Enrollment ID: I20240229003036

Medical Identifiers

Medical identifiers for Samantha Grace Boren such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245910298	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	BORE-TLLM8M (Mississippi)	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 Grace Boren allows following entities to bill medicare on her behalf.

Entity Name	Region Iv Mental Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699869537 PECOS PAC ID: 4688733991 Enrollment ID: O20081031000223

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 Grace Boren 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 Grace Boren, PMHNP-BC 73 County Road 1030, Booneville, MS 38829-9756 Ph: (662) 416-6568	Samantha Grace Boren, PMHNP-BC 601 Foote St, Corinth, MS 38834-4834 Ph: (662) 286-9883

Reviews and Comments

Nurse Practitioner Nurses in Corinth, MS

Jennifer Lynette South, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 703 Alcorn Dr Ste 109, Corinth, MS 38834 Phone: 662-660-9300
Sheila Galyean Settlemires, CFNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2427 Proper St, Corinth, MS 38834 Phone: 662-415-2681 Fax: 662-665-0150
Ginger Ashley Shook, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3301 Tinin Dr, Corinth, MS 38834 Phone: 662-665-9111 Fax: 662-665-9118
Hannah Beckham, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 Alcorn Drive, Suite 2b, Corinth, MS 38834 Phone: 662-293-7390 Fax: 662-293-7399
Diamond Pittman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 662-293-1000
Tabitha Perrigo, APMHMP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 Foote St, Corinth, MS 38834 Phone: 662-287-4424
Ishmael Tomas Francisco, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 423 N Young St, Corinth, MS 38834 Phone: 662-603-5904

Samantha Grace Boren, PMHNP-BC - Medicare Nurse Practitioner in Corinth, MS