Samantha Danielle Zeisloft, - Medicare Nurse Practitioner in Griffin, GA

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Samantha Danielle Zeisloft, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Griffin, Georgia. Her current practice location is 102 Hudson Industrial Dr, Griffin, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 743-0245.

Samantha Danielle Zeisloft is licensed to practice in Washington (license number AP61489940) 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 1417626490.

Contact Information

Samantha Danielle Zeisloft,
102 Hudson Industrial Dr,
Griffin, GA 30224-4536
(470) 743-0245
Not Available

Map and Direction




Provider's Profile

Full NameSamantha Danielle Zeisloft
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location102 Hudson Industrial Dr, Griffin, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417626490
  • Provider Enumeration Date: 09/13/2021
  • Last Update Date: 05/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7214317486
  • Enrollment ID: I20230221002813

Medical Identifiers

Medical identifiers for Samantha Danielle Zeisloft such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417626490NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health RN285551 (Georgia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health C-APN.0101357-C-NP (Colorado)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP61489940 (Washington)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 Danielle Zeisloft allows following entities to bill medicare on her behalf.
Entity NamePersonal Recovery Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881990869
PECOS PAC ID: 5092611384
Enrollment ID: O20120110000096

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 Danielle Zeisloft 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 AddressPractice Location Address
Samantha Danielle Zeisloft,
120 Heatherwood Dr,
Fayetteville, GA 30215-2125

Ph: (770) 654-6835		Samantha Danielle Zeisloft,
102 Hudson Industrial Dr,
Griffin, GA 30224-4536

Ph: (470) 743-0245

Reviews and Comments


Nurse Practitioner Nurses in Griffin, GA

Angela Parker,
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Practice Location: 625 Carver Rd, Griffin, GA 30224
Phone: 770-227-9222    
Kaley Prather,
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Practice Location: 619 S 8th St Suite 200, Griffin, GA 30224
Phone: 770-227-1587    Fax: 770-227-1485
Mary Roseann Henslee, N.P.
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Phone: 678-688-1580    Fax: 678-688-1594
Deborah Prather, FNP-C
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Practice Location: 509 N Expressway, Griffin, GA 30223
Phone: 943-202-7790    Fax: 470-986-7152
Dominique L Bailey, FNP-C
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Practice Location: 604a S 8th St, Griffin, GA 30224
Phone: 770-227-1999    
Alicia Skye Ledford, NP-C
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Medicare: May Accept Medicare Assignments
Practice Location: 619 S 8th St., Suite 200, Griffin, GA 30224
Phone: 770-227-1587    
Minh Ngoc Ly Barnett,
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Practice Location: 601 S 8th St, Griffin, GA 30224
Phone: 770-228-2721    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.