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 |
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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 |