Samantha J Kirk, NP in Bloomington, IN - Medicare Nurse Practitioner

Samantha J Kirk, NP is a medicare enrolled "Nurse Practitioner - Family" in Bloomington, Indiana. Her current practice location is 2651 E Discovery Pkwy, Bloomington, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 353-3719.

Samantha J Kirk is licensed to practice in Indiana (license number 71013673A) 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 1376243154.

Contact Information

	Samantha J Kirk, NP
	2651 E Discovery Pkwy, Bloomington, IN 47408-9059
	(812) 353-3719
	Not Available

Map and Direction

Provider's Profile

Full Name	Samantha J Kirk
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2651 E Discovery Pkwy, Bloomington, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376243154
Provider Enumeration Date: 03/09/2023
Last Update Date: 10/13/2023

Medicare PECOS Information:

PECOS PAC ID: 1951769819
Enrollment ID: I20230626000221

Medical Identifiers

Medical identifiers for Samantha J Kirk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376243154	NPI	-	NPPES
090540879	Other	IN	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71013673A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	71013673A (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 J Kirk allows following entities to bill medicare on her behalf.

Entity Name	Indiana University Health Southern Indiana Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556

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 J Kirk 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 J Kirk, NP 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () -	Samantha J Kirk, NP 2651 E Discovery Pkwy, Bloomington, IN 47408-9059 Ph: (812) 353-3719

Reviews and Comments

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Samantha J Kirk, NP - Medicare Nurse Practitioner in Bloomington, IN