Samantha R Klebowski, AGPNP in Tampa, FL - Medicare Nurse Practitioner

Samantha R Klebowski, AGPNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Tampa, Florida. Her current practice location is 12902 Usf Magnolia Dr, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 745-8000.

Samantha R Klebowski is licensed to practice in Florida (license number APRN11020997) 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 1073249017.

Contact Information

	Samantha R Klebowski, AGPNP
	12902 Usf Magnolia Dr, Tampa, FL 33612-9416
	(813) 745-8000
	Not Available

Map and Direction

Provider's Profile

Full Name	Samantha R Klebowski
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	12902 Usf Magnolia Dr, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073249017
Provider Enumeration Date: 07/30/2022
Last Update Date: 07/30/2022

Medicare PECOS Information:

PECOS PAC ID: 9830575703
Enrollment ID: I20220929001729

Medical Identifiers

Medical identifiers for Samantha R Klebowski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073249017	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	APRN11020997 (Florida)	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 R Klebowski allows following entities to bill medicare on her behalf.

Entity Name	H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306833595 PECOS PAC ID: 2264337021 Enrollment ID: O20031204000575

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 R Klebowski 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 R Klebowski, AGPNP 2105 Diane Ave, Valrico, FL 33594-4604 Ph: (216) 215-1739	Samantha R Klebowski, AGPNP 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 Ph: (813) 745-8000

Reviews and Comments

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Charmaine Henry, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15511 N Florida Ave Ste 401, Tampa, FL 33613 Phone: 813-963-3124 Fax: 813-908-7808
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Dr. Leigh Nicole Montejo, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9527 Delaney Creek Blvd, Tampa, FL 33619 Phone: 813-615-5230
Mrs. Dawn Elizabeth White, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2901 W Saint Isabel St, Suite A3, Tampa, FL 33607 Phone: 813-872-4401
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Courtney Pariso, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3010 E 138th Ave, Suite 12, Tampa, FL 33613 Phone: 813-975-2800 Fax: 813-977-7631

Samantha R Klebowski, AGPNP - Medicare Nurse Practitioner in Tampa, FL