Samantha Nichole Cassity, in Kenosha, WI - Medicare Nurse Practitioner

Samantha Nichole Cassity, is a medicare enrolled "Nurse Practitioner" in Kenosha, Wisconsin. Her current practice location is 2707 15th Pl, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 551-2700.

Samantha Nichole Cassity is licensed to practice in Wisconsin (license number 13824) 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 1316635923.

Contact Information

	Samantha Nichole Cassity,
	2707 15th Pl, Kenosha, WI 53140-4947
	(262) 551-2700
	Not Available

Map and Direction

Provider's Profile

Full Name	Samantha Nichole Cassity
Gender	Female
Speciality	Nurse Practitioner
Location	2707 15th Pl, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316635923
Provider Enumeration Date: 05/01/2023
Last Update Date: 10/06/2023

Medicare PECOS Information:

PECOS PAC ID: 3274991302
Enrollment ID: I20230622002003

Medical Identifiers

Medical identifiers for Samantha Nichole Cassity such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316635923	NPI	-	NPPES
100242210	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	13824 (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 Nichole Cassity allows following entities to bill medicare on her behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

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 Nichole Cassity 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 Nichole Cassity, 2707 15th Pl, Kenosha, WI 53140-4947 Ph: (262) 551-2700	Samantha Nichole Cassity, 2707 15th Pl, Kenosha, WI 53140-4947 Ph: (262) 551-2700

Reviews and Comments

Nurse Practitioner Nurses in Kenosha, WI

Mrs. Susan H. Pergande, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-6714
Katherine Jean Tura Spencer-schuerman, NURSE PRACTITIONER Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4536 22nd Ave, Kenosha, WI 53140 Phone: 262-565-0044
Carly Worden, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2707 15th Pl, Kenosha, WI 53140 Phone: 262-551-2700
Guadalupe Orlando Romero, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4777 88th Ave, Kenosha, WI 53144 Phone: 262-605-5253 Fax: 262-605-5903
Christine Marie Foster, APNP, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6525 Green Bay Rd, Ste. 2, Kenosha, WI 53142 Phone: 262-789-1191 Fax: 262-821-6180
Alejandra Moore, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7401 104th Ave Ste 110, Kenosha, WI 53142 Phone: 262-764-5595 Fax: 262-764-9314
Quentin R Kasuboski, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10400 75th St, Aurora Medical Center, Kenosha, WI 53142 Phone: 262-697-7000 Fax: 630-734-1560

Samantha Nichole Cassity, - Medicare Nurse Practitioner in Kenosha, WI