Samantha T Suttles, AGACNP is a medicare enrolled "Nurse Practitioner - Family" in Centerville, Indiana. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
4282 Lamott Rd, Centerville, Indiana. You can reach out to her office (for appointments etc.) via phone at
(765) 277-3951.
Samantha T Suttles is licensed to practice in Indiana (license number 28251143A) 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 1205674058.
Provider's Profile
| Full Name | Samantha T Suttles |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 4282 Lamott Rd, Centerville, Indiana |
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| Accepts Medicare Assignments | Yes. 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 T Suttles graduated from nursing school in 2021
NPI Data:
- NPI Number: 1205674058
- Provider Enumeration Date: 07/16/2024
- Last Update Date: 01/14/2026
Medicare PECOS Information:
- PECOS PAC ID: 7517499155
- Enrollment ID: I20241021001530
Medical Identifiers
Medical identifiers for Samantha T Suttles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1205674058 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 28251143A (Indiana) | 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 T Suttles allows following entities to bill medicare on her behalf.
| Entity Name | Cnp Operating Co LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518386739 PECOS PAC ID: 8325263734 Enrollment ID: O20201105002659 |
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| Entity Name | PA Post Acute Services PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255057063 PECOS PAC ID: 7911374905 Enrollment ID: O20240508003277 |
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| Entity Name | Misfits Medicine LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740146612 PECOS PAC ID: 8921580754 Enrollment ID: O20260302003181 |
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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 T Suttles 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 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 |
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