Samantha Quillen, CNP - Medicare Nurse Practitioner in Dover, OH

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Samantha Quillen, CNP is a medicare enrolled "Nurse Practitioner - Family" in Dover, Ohio. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Union Physician Services Llc and her current practice location is 110 Dublin Dr, Dover, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 343-0753.

Samantha Quillen is licensed to practice in Ohio (license number 16577) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083018915.

Contact Information

Samantha Quillen, CNP
110 Dublin Dr,
Dover, OH 44622-7805
(330) 343-0753
Not Available

Map and Direction




Provider's Profile

Full NameSamantha Quillen
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location110 Dublin Dr, Dover, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samantha Quillen graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1083018915
  • Provider Enumeration Date: 10/21/2014
  • Last Update Date: 11/12/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0749505279
  • Enrollment ID: I20150204001425

Medical Identifiers

Medical identifiers for Samantha Quillen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083018915NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 16577 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Union HospitalDover, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Union Physician Services Llc014336659177

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 Quillen allows following entities to bill medicare on her behalf.
Entity NameThe Union Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871606921
PECOS PAC ID: 0648177725
Enrollment ID: O20031217000124
Entity NameUnion Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215169826
PECOS PAC ID: 0143366591
Enrollment ID: O20091015000294

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 Quillen 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 Quillen, CNP
110 Dublin Dr,
Dover, OH 44622-7805

Ph: (330) 343-0753		Samantha Quillen, CNP
110 Dublin Dr,
Dover, OH 44622-7805

Ph: (330) 343-0753

Reviews and Comments


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Shelby Randulic,
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Phone: 330-343-3311    
Emily Reneker, FNP-BC
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Phone: 330-204-7075    
Tina Marie Alsept, CNP
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Practice Location: 300 Medical Park Dr, Suite 103, Dover, OH 44622
Phone: 330-364-2311    Fax: 330-364-7802
Mrs. Amber Dunlap-ott, NP-C
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Medicare: Medicare Enrolled
Practice Location: 897 E Iron Ave, Dover, OH 44622
Phone: 330-343-5555    
Amanda L Brock, MSN, APRN, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 110 Dublin Dr Ste A, Dover, OH 44622
Phone: 330-364-8038    
Ms. Stacee Faye Miller, APRN-BC
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Practice Location: 515 Union Ave, Suite 187, Dover, OH 44622
Phone: 330-343-4411    

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.