Samuel Basiaka Itie, FNP-C in Roswell, NM - Medicare Nurse Practitioner

Samuel Basiaka Itie, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Roswell, New Mexico. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Roswell Hospital Corporation, Roswell Clinic Corp and his current practice location is 712 W Hobbs St, Roswell, New Mexico. You can reach out to his office (for appointments etc.) via phone at (575) 623-5263.

Samuel Basiaka Itie is licensed to practice in New Mexico (license number 69489) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1952794687.

Contact Information

	Samuel Basiaka Itie, FNP-C
	712 W Hobbs St, Roswell, NM 88203-3646
	(575) 623-5263
	(575) 623-5286

Map and Direction

Provider's Profile

Full Name	Samuel Basiaka Itie
Gender	Male
Speciality	Nurse Practitioner
Experience	10 Years
Location	712 W Hobbs St, Roswell, New Mexico
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Samuel Basiaka Itie graduated from nursing school in 2014

NPI Data:

NPI Number: 1952794687
Provider Enumeration Date: 03/05/2015
Last Update Date: 12/28/2023

Medicare PECOS Information:

PECOS PAC ID: 4688951544
Enrollment ID: I20221027003215

Medical Identifiers

Medical identifiers for Samuel Basiaka Itie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952794687	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP127554 (Texas)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	69489 (New Mexico)	Secondary
363LF0000X	Nurse Practitioner - Family	69489 (New Mexico)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Interim Healthcare Of Roswell	Roswell, NM	Home health agency
Eastern New Mexico Medical Center	Roswell, NM	Hospital
Lovelace Regional Hospital - Roswell	Roswell, NM	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Roswell Hospital Corporation	1850204207	2
Roswell Clinic Corp	9436062759	28

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. Samuel Basiaka Itie allows following entities to bill medicare on his behalf.

Entity Name	Roswell Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427001759 PECOS PAC ID: 1850204207 Enrollment ID: O20031111000421

Entity Name	Roswell Clinic Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649267618 PECOS PAC ID: 9436062759 Enrollment ID: O20031111000799

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. Samuel Basiaka Itie 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
Samuel Basiaka Itie, FNP-C 712 W Hobbs St, Roswell, NM 88203-3646 Ph: (575) 623-5263	Samuel Basiaka Itie, FNP-C 712 W Hobbs St, Roswell, NM 88203-3646 Ph: (575) 623-5263

Reviews and Comments

Nurse Practitioner Nurses in Roswell, NM

Dr. Krasimir M Hristov, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 E College Blvd Ste E, Roswell, NM 88201 Phone: 575-623-3155 Fax: 915-587-6324
Katherine M Thatcher, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 N Delaware Ave, Roswell, NM 88203 Phone: 575-973-8543 Fax: 575-578-1901
Mrs. Leticia Medrano, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 E 23rd St, Roswell, NM 88201 Phone: 575-625-1292 Fax: 575-624-4836
Tonia Elizabeth Montoya, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 W Hobbs St, Roswell, NM 88203 Phone: 575-623-3311 Fax: 575-622-1273
Darla Gene Melton, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 W Country Club Rd Ste 230, Roswell, NM 88201 Phone: 575-622-1411 Fax: 575-624-5630
Ms. Kimberly A Hansen, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 W Bland St, Roswell, NM 88203 Phone: 575-623-1303 Fax: 575-622-1303
Rachel M Schupp, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 W Hobbs St, Roswell, NM 88203 Phone: 575-623-3311 Fax: 575-622-1273

Samuel Basiaka Itie, FNP-C - Medicare Nurse Practitioner in Roswell, NM