Samantha Villafuerte Crisp, FNP-C in Hanover, MD

Samantha Villafuerte Crisp, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Hanover, Maryland. Her current practice location is 7556 Teague Rd Ste 112, Hanover, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 514-6041.

Samantha Villafuerte Crisp is licensed to practice in Maryland (license number R211478) 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 1538896501.

Contact Information

	Samantha Villafuerte Crisp, FNP-C
	7556 Teague Rd Ste 112, Hanover, MD 21076-1969
	(410) 514-6041
	Not Available

Map and Direction

Provider's Profile

Full Name	Samantha Villafuerte Crisp
Gender	Female
Speciality	Nurse Practitioner - Family
Location	7556 Teague Rd Ste 112, Hanover, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538896501
Provider Enumeration Date: 08/01/2022
Last Update Date: 08/01/2022

Medicare PECOS Information:

PECOS PAC ID: 0042683443
Enrollment ID: I20230306002388

Medical Identifiers

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

Identifier	Type	State	Issuer
1538896501	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R211478 (Maryland)	Secondary
363LF0000X	Nurse Practitioner - Family	R211478 (Maryland)	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 Villafuerte Crisp allows following entities to bill medicare on her behalf.

Entity Name	Luminis Health Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073580205 PECOS PAC ID: 2860447315 Enrollment ID: O20050317000146

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 Villafuerte Crisp 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 Villafuerte Crisp, FNP-C 7556 Teague Rd Ste 112, Hanover, MD 21076-1969 Ph: () -	Samantha Villafuerte Crisp, FNP-C 7556 Teague Rd Ste 112, Hanover, MD 21076-1969 Ph: (410) 514-6041

Reviews and Comments

Nurse Practitioner Nurses in Hanover, MD

Ms. Sandra C. Shanahan, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7556 Teague Road, Suite 210, Hanover, MD 21076 Phone: 410-551-0499 Fax: 410-799-9070
Michael Volker, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7556 Teague Rd Ste 210, Hanover, MD 21076 Phone: 410-551-0499
Francesca Dominguez, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7250 Parkway Dr Ste 500, Hanover, MD 21076 Phone: 443-949-0814
Linda Marie Baldaia, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7556 Teague Rd, Maryland Primary Care Physicians, Hanover, MD 21076 Phone: 410-541-0499 Fax: 410-799-9070
Ms. Emily Eastburn Hart, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7250 Parkway Dr, Suite 500, Hanover, MD 21076 Phone: 443-949-0814
Nneka Aisida, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1371 Hawthorn Dr, Hanover, MD 21076 Phone: 301-385-7676
Danielle Bagdon, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7556 Teague Rd Ste 210, Hanover, MD 21076 Phone: 410-729-3368

Samantha Villafuerte Crisp, FNP-C - Medicare Nurse Practitioner in Hanover, MD