Jessica Samples, is a
Speech-language Pathologist based in Coalton, West Virginia. Jessica Samples is licensed to practice in West Virginia (license number SLP-2461) and her current practice location is
278 Broadway Ave, Coalton, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 636-9150.
NPI number for Jessica Samples is 1144076563 and her current mailing address is 278 Broadway Ave, Coalton, West Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144076563.
Healthcare Provider's Profile
Full Name | Jessica Samples |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 278 Broadway Ave, Coalton, West Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1144076563
- Provider Enumeration Date: 04/26/2024
- Last Update Date: 04/26/2024
Medical Identifiers
Medical identifiers for Jessica Samples such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144076563 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | SLP-2461 (West Virginia) | 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. Jessica 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 Address | Practice Location Address |
Jessica Samples, 278 Broadway Ave, Coalton, WV 26257-6708 Ph: (304) 636-9150 | Jessica Samples, 278 Broadway Ave, Coalton, WV 26257-6708 Ph: (304) 636-9150 |
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