Ms Polina Moiseyevna Samoylova, NP - Medicare Nurse Practitioner in Tucson, AZ

Ms Polina Moiseyevna Samoylova, NP is a medicare enrolled "Nurse Practitioner - Family" in Tucson, Arizona. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pima Neurology Inc and her current practice location is 400 W Magee Rd, Tucson, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 638-5553.

Ms Polina Moiseyevna Samoylova is licensed to practice in Arizona (license number AP11404) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295211159.

Contact Information

Ms Polina Moiseyevna Samoylova, NP
400 W Magee Rd,
Tucson, AZ 85704-6438
(520) 638-5553
(520) 638-5543

Map and Direction




Provider's Profile

Full NameMs Polina Moiseyevna Samoylova
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location400 W Magee Rd, Tucson, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Polina Moiseyevna Samoylova graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1295211159
  • Provider Enumeration Date: 07/13/2018
  • Last Update Date: 09/19/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5193079283
  • Enrollment ID: I20181107003584

Medical Identifiers

Medical identifiers for Ms Polina Moiseyevna Samoylova such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295211159NPI-NPPES
AP11404OtherAZARIZONA STATE BOARD OF NURSING
F06182317OtherAZAMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD
1295211159MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP11404 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pima Neurology Inc94363005063

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. Ms Polina Moiseyevna Samoylova allows following entities to bill medicare on her behalf.
Entity NamePima Neurology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174871917
PECOS PAC ID: 9436300506
Enrollment ID: O20121119000580

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. Ms Polina Moiseyevna Samoylova 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 AddressPractice Location Address
Ms Polina Moiseyevna Samoylova, NP
400 W Magee Rd,
Tucson, AZ 85704-5555

Ph: (520) 638-5553
Ms Polina Moiseyevna Samoylova, NP
400 W Magee Rd,
Tucson, AZ 85704-6438

Ph: (520) 638-5553

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.