Samantha T Suttles, AGACNP is a
Nurse Practitioner - Family based in Centerville, Indiana. Samantha T Suttles is licensed to practice in Indiana (license number 1205674058) and her current practice location is
4282 Lamott Rd, Centerville, Indiana. She can be reached at her office (for appointments etc.) via phone at
(765) 277-3951.
NPI number for Samantha T Suttles is 1205674058 and her current mailing address is 4282 Lamott Rd, Centerville, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. 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 - Family |
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Location | 4282 Lamott Rd, Centerville, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205674058
- Provider Enumeration Date: 07/16/2024
- Last Update Date: 10/15/2024
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 | 1205674058 (Indiana) | 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 T Suttles 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 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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