Samantha Martin, - Medicare Nurse Practitioner in Deridder, LA

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Samantha Martin, is a medicare enrolled "Nurse Practitioner - Family" in Deridder, Louisiana. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Beauregard Family Medical Center, Llc, Concord Medical Group Pllc and her current practice location is 501 S Pine St, Deridder, Louisiana. You can reach out to her office (for appointments etc.) via phone at (337) 463-9890.

Samantha Martin is licensed to practice in Louisiana (license number 214147) 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 1699384628.

Contact Information

Samantha Martin,
501 S Pine St,
Deridder, LA 70634-4939
(337) 463-9890
Not Available

Map and Direction




Provider's Profile

Full NameSamantha Martin
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location501 S Pine St, Deridder, Louisiana
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:
  • Samantha Martin graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1699384628
  • Provider Enumeration Date: 07/27/2020
  • Last Update Date: 01/04/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0042636615
  • Enrollment ID: I20200812003751

Medical Identifiers

Medical identifiers for Samantha Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699384628NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 214147 (Louisiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Vernon Home HealthLeesville, LAHome health agency
Beauregard Memorial Hosp HhaDeridder, LAHome health agency
Beauregard Memorial HospitalDeridder, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Beauregard Family Medical Center, Llc35777097082
Concord Medical Group Pllc0446296818158

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. Samantha Martin allows following entities to bill medicare on her behalf.
Entity NameBeauregard Medical And Surgical Center, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326348962
PECOS PAC ID: 6709066541
Enrollment ID: O20110210000569
Entity NameBeauregard Women's Health Center, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801196498
PECOS PAC ID: 9234319955
Enrollment ID: O20110211000421
Entity NameBeauregard Internal Medicine Center, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588964175
PECOS PAC ID: 7113100801
Enrollment ID: O20110317000340
Entity NameBeauregard Family Medical Center, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326387705
PECOS PAC ID: 3577709708
Enrollment ID: O20130413000098
Entity NameConcord Medical Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083630610
PECOS PAC ID: 0446296818
Enrollment ID: O20140930001176
Entity NameGreat River Orthopedic And Sports Medicine Center Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760887673
PECOS PAC ID: 4385871862
Enrollment ID: O20150108001382
Entity NameSouth Central Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427611854
PECOS PAC ID: 6507195492
Enrollment ID: O20191022002061

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 Martin 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
Samantha Martin,
501 S Pine St,
Deridder, LA 70634-4939

Ph: (337) 463-9890		Samantha Martin,
501 S Pine St,
Deridder, LA 70634-4939

Ph: (337) 463-9890

Reviews and Comments


Nurse Practitioner Nurses in Deridder, LA

Ms. Christina Miller, FNP-C
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 501 S Pine St, Deridder, LA 70634
Phone: 337-463-9890    Fax: 337-462-9521
Sharolyn Rose Chitty, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 206 W 5th St, Deridder, LA 70634
Phone: 337-463-5582    
Christine Hoffpauir, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 206 W 5th St, Deridder, LA 70634
Phone: 337-462-7160    
Anna Reuber,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 600 S Pine St, Deridder, LA 70634
Phone: 337-462-7100    
Mrs. Michelle W Adams, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1017 N Pine St, Deridder, LA 70634
Phone: 337-202-4101    Fax: 337-202-4052
Jennifer Dianne Midgett, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2581 Highway 190 W, Deridder, LA 70634
Phone: 337-221-3075    Fax: 337-221-3076
Eva Lois Ullom, RN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 325 W 8th St, Deridder, LA 70634
Phone: 337-463-3387    Fax: 949-862-5301

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.