Samantha K Polk, FNP-C - Medicare Nurse Practitioner in Tell City, IN

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Samantha K Polk, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Tell City, Indiana. Her current practice location is 602 Main St, Tell City, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 608-0468.

Samantha K Polk is licensed to practice in Indiana (license number 71005191A) 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 1417357542.

Contact Information

Samantha K Polk, FNP-C
602 Main St,
Tell City, IN 47586-1704
(812) 608-0468
Not Available

Map and Direction




Provider's Profile

Full NameSamantha K Polk
GenderFemale
SpecialityNurse Practitioner - Family
Location602 Main St, Tell City, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417357542
  • Provider Enumeration Date: 08/26/2014
  • Last Update Date: 09/22/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8426370388
  • Enrollment ID: I20141203001258

Medical Identifiers

Medical identifiers for Samantha K Polk such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417357542NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 71005191A (Indiana)Secondary
363LF0000XNurse Practitioner - Family 71005191A (Indiana)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 K Polk allows following entities to bill medicare on her behalf.
Entity NamePerry County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629621396
PECOS PAC ID: 6901871276
Enrollment ID: O20040909000009
Entity NamePerry County Family Practice
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215928536
PECOS PAC ID: 6204867559
Enrollment ID: O20050825000962
Entity NameRecover Together Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891102497
PECOS PAC ID: 7810247533
Enrollment ID: O20201029002221
Entity NameComplete Wellness Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306443908
PECOS PAC ID: 4284045816
Enrollment ID: O20221025001956

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 K Polk 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 AddressPractice Location Address
Samantha K Polk, FNP-C
11616 E State Road 66,
Evanston, IN 47531-8151

Ph: (812) 608-0468		Samantha K Polk, FNP-C
602 Main St,
Tell City, IN 47586-1704

Ph: (812) 608-0468

Reviews and Comments


Nurse Practitioner Nurses in Tell City, IN

Mrs. Kristin M Johnson, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 211 Us Highway 66 E, Tell City, IN 47586
Phone: 812-979-2136    
Melissa Breitweiser,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 109 Us Highway 66 E, Tell City, IN 47586
Phone: 812-547-3447    Fax: 812-547-9543
Kayla Lawalin, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 148 13th St, Tell City, IN 47586
Phone: 812-547-9661    
Kandi M Weber, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 421 7th St, Tell City, IN 47586
Phone: 812-547-0475    Fax: 812-547-1300
Illia Mai Leibering, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 8735 State Road 37 Ste B, Tell City, IN 47586
Phone: 812-547-9663    Fax: 812-772-2871
Mrs. Shauna L Gish, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 211 Us Highway 66 E, Tell City, IN 47586
Phone: 812-919-2136    
Mrs. Amber Nicole Anderson, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 109 Us Highway 66 E, Tell City, IN 47586
Phone: 812-547-3447    Fax: 812-547-9543

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.