| Samantha T Suttles, AGACNP | |
|
4282 Lamott Rd, Centerville, IN 47330-9647 | |
| (765) 277-3951 | |
| Not Available |
| Full Name | Samantha T Suttles |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 4282 Lamott Rd, Centerville, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205674058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1205674058 (Indiana) | Primary |
| Entity Name | Extended Care Specialists, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134146079 PECOS PAC ID: 2466407713 Enrollment ID: O20050318000726 |
| Entity Name | Nora Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033548896 PECOS PAC ID: 4486884871 Enrollment ID: O20140304001685 |
| Entity Name | Eventus Wholehealth Midwest Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386252757 PECOS PAC ID: 4183040470 Enrollment ID: O20200818000277 |
| Entity Name | Cnp Operating Co Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518386739 PECOS PAC ID: 8325263734 Enrollment ID: O20201105002659 |
| Entity Name | Pa Post Acute Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255057063 PECOS PAC ID: 7911374905 Enrollment ID: O20240508003277 |
| Entity Name | Eventus Ecs, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073353496 PECOS PAC ID: 2163969650 Enrollment ID: O20240801002542 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha T Suttles, AGACNP 4282 Lamott Rd, Centerville, IN 47330-9647 Ph: (765) 277-3951 | Samantha T Suttles, AGACNP 4282 Lamott Rd, Centerville, IN 47330-9647 Ph: (765) 277-3951 |