Samantha Sifford, FNP-C in Hollywood, FL - Medicare Nurse Practitioner

Samantha Sifford, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Hollywood, Florida. Her current practice location is 200 S Park Rd Ste 200, Hollywood, Florida. You can reach out to her office (for appointments etc.) via phone at (772) 519-1085.

Samantha Sifford is licensed to practice in Texas (license number 1153186) 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 1104681964.

Contact Information

	Samantha Sifford, FNP-C
	200 S Park Rd Ste 200, Hollywood, FL 33021-8541
	(772) 519-1085
	Not Available

Map and Direction

Provider's Profile

Full Name	Samantha Sifford
Gender	Female
Speciality	Nurse Practitioner - Family
Location	200 S Park Rd Ste 200, Hollywood, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104681964
Provider Enumeration Date: 02/20/2024
Last Update Date: 02/21/2024

Medicare PECOS Information:

PECOS PAC ID: 0042657371
Enrollment ID: I20240322001118

Medical Identifiers

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

Identifier	Type	State	Issuer
1104681964	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1153186 (Texas)	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 Sifford allows following entities to bill medicare on her behalf.

Entity Name	Woundtech Of Texas
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336538925 PECOS PAC ID: 5092034769 Enrollment ID: O20150430000622

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 Sifford 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 Sifford, FNP-C 2200 Beacon Cir Apt 2209, League City, TX 77573-7223 Ph: (772) 519-1085	Samantha Sifford, FNP-C 200 S Park Rd Ste 200, Hollywood, FL 33021-8541 Ph: (772) 519-1085

Reviews and Comments

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Samantha Sifford, FNP-C - Medicare Nurse Practitioner in Hollywood, FL