Samantha Mae Weyandt, is a medicare enrolled "Nurse Practitioner - Family" in Navarre, Ohio. Her current practice location is
1230 Market St Ne, Navarre, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 879-5983.
Samantha Mae Weyandt is licensed to practice in Ohio (license number F10220123) 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 1174247043.
Provider's Profile
Full Name | Samantha Mae Weyandt |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1230 Market St Ne, Navarre, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174247043
- Provider Enumeration Date: 10/03/2022
- Last Update Date: 02/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 8123497583
- Enrollment ID: I20221207002522
Medical Identifiers
Medical identifiers for Samantha Mae Weyandt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174247043 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | F10220123 (Ohio) | 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 Mae Weyandt allows following entities to bill medicare on her behalf.
Entity Name | Aultman North Canton Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245257088 PECOS PAC ID: 4082605266 Enrollment ID: O20040518001528 |
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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 Mae Weyandt 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 Mae Weyandt, 1230 Market St Ne, Navarre, OH 44662-8576 Ph: (330) 879-5983 | Samantha Mae Weyandt, 1230 Market St Ne, Navarre, OH 44662-8576 Ph: (330) 879-5983 |
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