Samuel Jason Fletcher, FNP-BC - Medicare Nurse Practitioner in Atlanta, GA

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Samuel Jason Fletcher, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Atlanta, Georgia. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice The Hospital Authority Of Miller County, Southland Consolidated Emergency Services Llc, Southland Emergency Medical Services Llc and his current practice location is 5470 Meridian Marks Rd, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at (800) 474-4007.

Samuel Jason Fletcher is licensed to practice in Georgia (license number RN178608) 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 1558883868.

Contact Information

Samuel Jason Fletcher, FNP-BC
5470 Meridian Marks Rd,
Atlanta, GA 30342
(800) 474-4007
(800) 474-4039

Map and Direction




Provider's Profile

Full NameSamuel Jason Fletcher
GenderMale
SpecialityNurse Practitioner
Experience7 Years
Location5470 Meridian Marks Rd, Atlanta, Georgia
Accepts Medicare AssignmentsYes. 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 Jason Fletcher graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1558883868
  • Provider Enumeration Date: 07/10/2017
  • Last Update Date: 08/22/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5597038844
  • Enrollment ID: I20170907002511

Medical Identifiers

Medical identifiers for Samuel Jason Fletcher such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558883868NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN178608 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Miller County HospitalColquitt, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Hospital Authority Of Miller County024422494728
Southland Consolidated Emergency Services Llc286079206636
Southland Emergency Medical Services Llc377970174319

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 Jason Fletcher allows following entities to bill medicare on his behalf.
Entity NameThe Hospital Authority Of Miller County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710105119
PECOS PAC ID: 0244224947
Enrollment ID: O20040414000857
Entity NamePhoebe Sumter Medical Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609001312
PECOS PAC ID: 4385789213
Enrollment ID: O20110324000491
Entity NameSouthland Emergency Medical Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477701472
PECOS PAC ID: 3779701743
Enrollment ID: O20140904001715
Entity NameSouthland Consolidated Emergency Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174917124
PECOS PAC ID: 2860792066
Enrollment ID: O20151119001289
Entity NamePremier Cardiology Consultants Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033596515
PECOS PAC ID: 3971817917
Enrollment ID: O20210528000613
Entity NameThe Hospital Authority Of Miller County
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1285794750
PECOS PAC ID: 0244224947
Enrollment ID: O20230918001554

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 Jason Fletcher 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
Samuel Jason Fletcher, FNP-BC
865 Twilight Church Rd,
Colquitt, GA 39837-7636

Ph: (229) 220-5565		Samuel Jason Fletcher, FNP-BC
5470 Meridian Marks Rd,
Atlanta, GA 30342

Ph: (800) 474-4007

Reviews and Comments


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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.