Samantha Renee Fraley, is a
Registered Nurse based in Vansant, Virginia. Samantha Renee Fraley is licensed to practice in Virginia (license number 0001246096) and her current practice location is
18765 Riverside Dr, Vansant, Virginia. She can be reached at her office (for appointments etc.) via phone at
(276) 935-2880.
NPI number for Samantha Renee Fraley is 1154133676 and her current mailing address is Po Box 144, Big Rock, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154133676.
Provider's Profile
| Full Name | Samantha Renee Fraley |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 18765 Riverside Dr, Vansant, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1154133676
- Provider Enumeration Date: 01/22/2025
- Last Update Date: 01/22/2025
Medical Identifiers
Medical identifiers for Samantha Renee Fraley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154133676 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 0001246096 (Virginia) | Primary |
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 Renee Fraley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Samantha Renee Fraley,
Po Box 144,
Big Rock, VA 24603-0144
Ph: (423) 754-7768 | Samantha Renee Fraley,
18765 Riverside Dr,
Vansant, VA 24656
Ph: (276) 935-2880 |
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