Samantha Lee Ann Brunink, FNP - Medicare Nurse Practitioner in Williston, ND

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Samantha Lee Ann Brunink, FNP is a medicare enrolled "Nurse Practitioner - Family" in Williston, North Dakota. Her current practice location is 116 23rd St E, Williston, North Dakota. You can reach out to her office (for appointments etc.) via phone at (307) 258-0956.

Samantha Lee Ann Brunink is licensed to practice in California (license number 95032641) 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 1083436604.

Contact Information

Samantha Lee Ann Brunink, FNP
116 23rd St E,
Williston, ND 58801-6264
(307) 258-0956
Not Available

Map and Direction




Provider's Profile

Full NameSamantha Lee Ann Brunink
GenderFemale
SpecialityNurse Practitioner - Family
Location116 23rd St E, Williston, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083436604
  • Provider Enumeration Date: 10/25/2024
  • Last Update Date: 11/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9830624188
  • Enrollment ID: I20241122001620

Medical Identifiers

Medical identifiers for Samantha Lee Ann Brunink such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083436604NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95032641 (California)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 Lee Ann Brunink allows following entities to bill medicare on her behalf.
Entity NameJ M Geiss Do Apc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063825289
PECOS PAC ID: 6103044078
Enrollment ID: O20140919001932
Entity NameCalifornia Phs Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649932781
PECOS PAC ID: 2062808645
Enrollment ID: O20220407001048
Entity NameSenior Doc Integrated Med Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396526026
PECOS PAC ID: 3375990286
Enrollment ID: O20231115001383

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 Lee Ann Brunink 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 Lee Ann Brunink, FNP
116 23rd St E,
Williston, ND 58801-6264

Ph: (307) 258-0956		Samantha Lee Ann Brunink, FNP
116 23rd St E,
Williston, ND 58801-6264

Ph: (307) 258-0956

Reviews and Comments


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Elizabeth Ann Skov, FPMHNP
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Phone: 701-774-4600    Fax: 701-774-4620
Evonne A Hickok, FNP-C
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Mrs. Cathie Sue Henneberry, F.N.P., APRN-BC, MSN
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Nana Oforiwaa Boateng, FNP-C
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Phone: 701-572-7651    
Debra J. Lukenbill, NP
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Practice Location: 1301 15th Ave W, Williston, ND 58801
Phone: 701-774-7477    Fax: 701-774-7479

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.