Sia Sam-sumana, in Fayetteville, NC - Medicare Nurse Practitioner

Sia Sam-sumana, is a medicare enrolled "Nurse Practitioner - Family" in Fayetteville, North Carolina. Her current practice location is 3616 Cape Center Dr Ste A, Fayetteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 779-0780.

Sia Sam-sumana is licensed to practice in North Carolina (license number 5020304) 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 1740026483.

Contact Information

	Sia Sam-sumana,
	3616 Cape Center Dr Ste A, Fayetteville, NC 28304-4456
	(910) 779-0780
	Not Available

Map and Direction

Provider's Profile

Full Name	Sia Sam-sumana
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3616 Cape Center Dr Ste A, Fayetteville, 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: 1740026483
Provider Enumeration Date: 07/02/2024
Last Update Date: 07/02/2024

Medicare PECOS Information:

PECOS PAC ID: 2365981222
Enrollment ID: I20240823001914

Medical Identifiers

Medical identifiers for Sia Sam-sumana such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740026483	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5020304 (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. Sia Sam-sumana allows following entities to bill medicare on her behalf.

Entity Name	Divine Family Practice And Urgent Care Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477197168 PECOS PAC ID: 1759712383 Enrollment ID: O20200514000320

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. Sia Sam-sumana 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
Sia Sam-sumana, 29 Castello Way, Clayton, NC 27527-5429 Ph: () -	Sia Sam-sumana, 3616 Cape Center Dr Ste A, Fayetteville, NC 28304-4456 Ph: (910) 779-0780

Reviews and Comments

Nurse Practitioner Nurses in Fayetteville, NC

Mrs. Sekeya Edreekia Durgan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7300 S Raeford Rd, Fayetteville, NC 28304 Phone: 910-475-6244
Heather Mcphail Maynor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-5680
Wendy Lynn Brock, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-5490
Dr. Adrian Nicole Lennon, PSYCHIATRIC NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6977 Nexus Ct Ste 102, Fayetteville, NC 28304 Phone: 910-672-6432 Fax: 910-745-7907
Shelley Barry Follett, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2125 Valleygate Dr, Suite 201, Fayetteville, NC 28304 Phone: 910-323-1322
Cheryl Norris, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-4000
Demetria Ward-richardson, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1601 Owen Dr, Fayetteville, NC 28304 Phone: 910-678-0100

Sia Sam-sumana, - Medicare Nurse Practitioner in Fayetteville, NC