Samantha Kay Noeth, MMSN - Medicare Nurse Practitioner in Gillespie, IL

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Samantha Kay Noeth, MMSN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Gillespie, Illinois. Her current practice location is 715 Broadway St, Gillespie, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 839-4491.

Samantha Kay Noeth is licensed to practice in Illinois (license number 209.018361) 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 1245706548.

Contact Information

Samantha Kay Noeth, MMSN
715 Broadway St,
Gillespie, IL 62033-1166
(217) 839-4491
(217) 839-2689

Map and Direction




Provider's Profile

Full NameSamantha Kay Noeth
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location715 Broadway St, Gillespie, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245706548
  • Provider Enumeration Date: 10/15/2018
  • Last Update Date: 05/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0446504872
  • Enrollment ID: I20181121000244

Medical Identifiers

Medical identifiers for Samantha Kay Noeth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245706548NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 209.018361 (Illinois)Primary
363L00000XNurse Practitioner 209018361 (Illinois)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 Kay Noeth allows following entities to bill medicare on her behalf.
Entity NameMacoupin Family Practice Centers Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699899070
PECOS PAC ID: 2365350253
Enrollment ID: O20050928000530
Entity NameBehavioral Health Alternatives, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619062676
PECOS PAC ID: 2567462765
Enrollment ID: O20070112000150

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 Kay Noeth 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 Kay Noeth, MMSN
715 Broadway St,
Gillespie, IL 62033-1166

Ph: (217) 839-4491		Samantha Kay Noeth, MMSN
715 Broadway St,
Gillespie, IL 62033-1166

Ph: (217) 839-4491

Reviews and Comments


Nurse Practitioner Nurses in Gillespie, IL

Zuzana Jackevicius Killam,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 109 E Maple St, Gillespie, IL 62033
Phone: 217-839-1526    Fax: 217-839-1538
Sandra L Cania,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 109 E Maple St, Gillespie, IL 62033
Phone: 217-839-1526    Fax: 217-839-1538
Mrs. Christina Elizabeth Ventimiglia-brandt, FNP-BC
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 109 E Maple St, Gillespie, IL 62033
Phone: 217-839-1526    
Sheri Lynne Banovic, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 115 South Macoupin Street, Gillespie, IL 62033
Phone: 217-839-1526    
Samantha Thomas, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 109 E Maple St, Gillespie, IL 62033
Phone: 217-839-1526    
Melinda S Edwards, PMHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 109 E Maple St, Gillespie, IL 62033
Phone: 217-839-1526    

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.