Samantha Kubly, - Medicare Nurse Practitioner in Middleton, WI

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Samantha Kubly, is a medicare enrolled "Nurse Practitioner" in Middleton, Wisconsin. Her current practice location is 3030 Laura Ln Ste 130, Middleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (888) 688-4746.

Samantha Kubly is licensed to practice in Wisconsin (license number 11903) 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 1164154399.

Contact Information

Samantha Kubly,
3030 Laura Ln Ste 130,
Middleton, WI 53562-1872
(888) 688-4746
Not Available

Map and Direction




Provider's Profile

Full NameSamantha Kubly
GenderFemale
SpecialityNurse Practitioner
Location3030 Laura Ln Ste 130, Middleton, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164154399
  • Provider Enumeration Date: 06/27/2022
  • Last Update Date: 06/27/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7517341894
  • Enrollment ID: I20220906001907

Medical Identifiers

Medical identifiers for Samantha Kubly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164154399NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 11903 (Wisconsin)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 Kubly allows following entities to bill medicare on her behalf.
Entity NamePivotal Health, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508465220
PECOS PAC ID: 5496159782
Enrollment ID: O20210809002587
Entity NameHealthcare Access Point Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457059735
PECOS PAC ID: 5890154306
Enrollment ID: O20230630002039

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 Kubly 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 Kubly,
3030 Laura Ln Ste 130,
Middleton, WI 53562-1872

Ph: (888) 688-4746		Samantha Kubly,
3030 Laura Ln Ste 130,
Middleton, WI 53562-1872

Ph: (888) 688-4746

Reviews and Comments


Nurse Practitioner Nurses in Middleton, WI

Ioana Huibregtse, APN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7780 Elmwood Ave, Middleton, WI 53562
Phone: 608-417-3434    
Christy Staats, APNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2275 Deming Way, Suite 220, Middleton, WI 53562
Phone: 608-417-8388    
Mrs. Jennifer L Janes, APNP, MSN, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3030 Laura Ln Ste 130, Middleton, WI 53562
Phone: 888-688-4746    Fax: 608-960-7789
Kelly E Laishes, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7205 Elmwood Ave, Middleton, WI 53562
Phone: 608-263-7502    
Rosemary S Neider, APNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6508 Clovernook Rd, Middleton, WI 53562
Phone: 608-692-6508    
Barbara Rebekah Demares, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3169 Deming Way, Middleton, WI 53562
Phone: 608-716-8288    

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.