Samantha Lynn Simley, PA, PT, DPT is a medicare enrolled "Physician Assistant" provider in Fargo, North Dakota. Her current practice location is
1720 University Dr S, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 234-2000.
Samantha Lynn Simley is licensed to practice in * (Not Available) (license number ) 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 1396294435.
Healthcare Provider's Profile
| Full Name | Samantha Lynn Simley |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 1720 University Dr S, Fargo, North Dakota |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1396294435
- Provider Enumeration Date: 09/30/2016
- Last Update Date: 03/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 4688962939
- Enrollment ID: I20220324001784
Medical Identifiers
Medical identifiers for Samantha Lynn Simley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396294435 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 2032 (North Dakota) | Secondary |
| 363A00000X | Physician Assistant | (* (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. Samantha Lynn Simley 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 |
|---|
Samantha Lynn Simley, PA, PT, DPT
Po Box 5074,
Sioux Falls, SD 57117-5074
Ph: () - | Samantha Lynn Simley, PA, PT, DPT
1720 University Dr S,
Fargo, ND 58103-4940
Ph: (701) 234-2000 |
Reviews and Comments