Samantha Jane Loomis, NP is a medicare enrolled "Hospitalist" in Springfield, Oregon. She graduated from nursing school in 2012 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Peacehealth and her current practice location is
Peacehealth Hospital Medicine, 3377 Riverbend Drive, Springfield, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 222-6389.
Samantha Jane Loomis is licensed to practice in Oregon (license number 201808008NP-PP) 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 1700124021.
Provider's Profile
| Full Name | Samantha Jane Loomis |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 13 Years |
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| Location | Peacehealth Hospital Medicine, Springfield, Oregon |
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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 Jane Loomis graduated from nursing school in 2012
NPI Data:
- NPI Number: 1700124021
- Provider Enumeration Date: 01/21/2013
- Last Update Date: 08/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 9335462159
- Enrollment ID: I20190206002622
Medical Identifiers
Medical identifiers for Samantha Jane Loomis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700124021 | NPI | - | NPPES |
| 64026302 | Medicaid | CO | |
| 500756799 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 201808008NP-PP (Oregon) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0990568-NP (Colorado) | Secondary |
| 208M00000X | Hospitalist | 201808008NP-PP (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Peacehealth | 8527016039 | 171 |
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 Jane Loomis allows following entities to bill medicare on her behalf.
| Entity Name | Peacehealth |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740223874
PECOS PAC ID: 8527016039
Enrollment ID: O20050111000353 |
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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 Jane Loomis 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 Jane Loomis, NP
Peacehealth Hospital Medicine, 3377 Riverbend Drive,
Springfield, OR 97477-8803
Ph: (541) 222-6389 | Samantha Jane Loomis, NP
Peacehealth Hospital Medicine, 3377 Riverbend Drive,
Springfield, OR 97477-8803
Ph: (541) 222-6389 |
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