Samantha Jo Fugleberg, in Fargo, ND - Medicare Nurse Practitioner

Samantha Jo Fugleberg, is a medicare enrolled "Nurse Practitioner - Family" in Fargo, North Dakota. Her current practice location is 801 Broadway N Fl 3, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 234-4800.

Samantha Jo Fugleberg is licensed to practice in North Dakota (license number R36750) 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 1497489751.

Contact Information

	Samantha Jo Fugleberg,
	801 Broadway N Fl 3, Fargo, ND 58102-3641
	(701) 234-4800
	Not Available

Map and Direction

Provider's Profile

Full Name	Samantha Jo Fugleberg
Gender	Female
Speciality	Nurse Practitioner - Family
Location	801 Broadway N Fl 3, Fargo, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497489751
Provider Enumeration Date: 07/13/2022
Last Update Date: 04/12/2023

Medicare PECOS Information:

PECOS PAC ID: 5991177362
Enrollment ID: I20230213000133

Medical Identifiers

Medical identifiers for Samantha Jo Fugleberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497489751	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R36750 (North Dakota)	Primary
363L00000X	Nurse Practitioner	R36750 (North Dakota)	Secondary

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 Jo Fugleberg allows following entities to bill medicare on her behalf.

Entity Name	Sanford Medical Center Fargo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495

Entity Name	Sanford Health Network North
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366478760 PECOS PAC ID: 8022206663 Enrollment ID: O20171226001068

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 Jo Fugleberg 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 Jo Fugleberg, Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-6585	Samantha Jo Fugleberg, 801 Broadway N Fl 3, Fargo, ND 58102-3641 Ph: (701) 234-4800

Reviews and Comments

Nurse Practitioner Nurses in Fargo, ND

Wendy M Moore, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 901 28th St S, Fargo, ND 58103 Phone: 701-404-1100 Fax: 701-540-6498
Mrs. Kayla L. Nelson, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Np Ave N, Fargo, ND 58102 Phone: 701-271-3344
Kyrie Marie Severson, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4622 40th Ave S, Suite A, Fargo, ND 58104 Phone: 701-364-2909 Fax: 701-364-9822
Jessica Smolen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 321 8th Ave N, Fargo, ND 58102 Phone: 701-234-2525
Mary Omer Habib, APRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4622 40th Ave S Ste A, Fargo, ND 58104 Phone: 218-364-8900
Mr. Nicholas Henry Frederiksen, APRN,CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078
Erin Marie Wilmes Reiniger, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4622 40th Ave S, Fargo, ND 58104 Phone: 701-364-8000 Fax: 701-364-3561

Samantha Jo Fugleberg, - Medicare Nurse Practitioner in Fargo, ND