Travis Samples, PA-C - Physician Assistant in Fort Wayne, IN

Travis Samples, PA-C is a Physician Assistant - Medical based in Fort Wayne, Indiana. Travis Samples is licensed to practice in * (Not Available) (license number ) and his current practice location is 608 Union Chapel Rd, Fort Wayne, Indiana. He can be reached at his office (for appointments etc.) via phone at (260) 482-5091.

NPI number for Travis Samples is 1770393415 and his current mailing address is 1796 Bayview Dr, Fort Wayne, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770393415.

Contact Information

Travis Samples, PA-C
608 Union Chapel Rd,
Fort Wayne, IN 46845-9357
(260) 482-5091
Not Available

Map and Direction




Provider's Profile

Full NameTravis Samples
GenderMale
SpecialityPhysician Assistant - Medical
Location608 Union Chapel Rd, Fort Wayne, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1770393415
  • Provider Enumeration Date: 01/13/2025
  • Last Update Date: 01/13/2025

Medical Identifiers

Medical identifiers for Travis Samples such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770393415NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical (* (Not Available))Primary

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. Travis Samples is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Travis Samples, PA-C
1796 Bayview Dr,
Fort Wayne, IN 46815-4219

Ph: (734) 807-1260
Travis Samples, PA-C
608 Union Chapel Rd,
Fort Wayne, IN 46845-9357

Ph: (260) 482-5091

Reviews and Comments


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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.

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