Shiny Samuel, NP in Cary, NC - Medicare Nurse Practitioner

Shiny Samuel, NP is a medicare enrolled "Nurse Practitioner - Primary Care" in Cary, North Carolina. Her current practice location is 550 New Waverly Pl Ste 105, Cary, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 233-2022.

Shiny Samuel is licensed to practice in North Carolina (license number 5010430) 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 1689170375.

Contact Information

	Shiny Samuel, NP
	550 New Waverly Pl Ste 105, Cary, NC 27518-7412
	(919) 233-2022
	Not Available

Map and Direction

Provider's Profile

Full Name	Shiny Samuel
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	550 New Waverly Pl Ste 105, Cary, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689170375
Provider Enumeration Date: 04/02/2018
Last Update Date: 04/02/2018

Medicare PECOS Information:

PECOS PAC ID: 1254685316
Enrollment ID: I20181108002775

Medical Identifiers

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

Identifier	Type	State	Issuer
1689170375	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	5010430 (North Carolina)	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. Shiny Samuel allows following entities to bill medicare on her behalf.

Entity Name	Cary Medical Clinic, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184751372 PECOS PAC ID: 9931394699 Enrollment ID: O20101109000071

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. Shiny Samuel 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
Shiny Samuel, NP 101 Deer Isle Ct, Cary, NC 27519-6465 Ph: (919) 946-4059	Shiny Samuel, NP 550 New Waverly Pl Ste 105, Cary, NC 27518-7412 Ph: (919) 233-2022

Reviews and Comments

Nurse Practitioner Nurses in Cary, NC

Charity Grant Mcdaniel, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 217 Westover Hills Dr, Cary, NC 27513 Phone: 501-266-4317
Kathryn V Banks, PNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 Ridge View Dr, Cary, NC 27511 Phone: 919-467-5543
Stephanie Evette Kilburn, DNP, MSN, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Crescent Grn Ste 102, Cary, NC 27518 Phone: 919-897-5999
Mrs. Mary Elizabeth Simmons-sherlock, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 Ashville Ave, Cary, NC 27518 Phone: 919-235-6460
Dr. Mariah Laliberte Carey, DNP, BSN, RN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1515 Sw Cary Pkwy Ste 200, Cary, NC 27511 Phone: 919-387-3176
Patricia Brown-prestia, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 New Waverly Pl, Suite 200, Cary, NC 27518 Phone: 919-467-5941 Fax: 919-655-0532
Mrs. Kimberly Rae Stalnaker, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114 Brady Ct, Cary, NC 27511 Phone: 919-526-0558 Fax: 910-967-6084

Shiny Samuel, NP - Medicare Nurse Practitioner in Cary, NC