Samantha T Hart, APNP in Plymouth, WI - Medicare Nurse Practitioner

Samantha T Hart, APNP is a medicare enrolled "Nurse Practitioner - Family" in Plymouth, Wisconsin. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sheboygan Physicians Group S.c. and her current practice location is 825 Walton Dr, Plymouth, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 892-4322.

Samantha T Hart is licensed to practice in Wisconsin (license number 11524-33) 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 1669137428.

Contact Information

	Samantha T Hart, APNP
	825 Walton Dr, Plymouth, WI 53073-5022
	(920) 892-4322
	Not Available

Map and Direction

Provider's Profile

Full Name	Samantha T Hart
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	825 Walton Dr, Plymouth, Wisconsin
Accepts Medicare Assignments	Yes. 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 T Hart graduated from nursing school in 2021

NPI Data:

NPI Number: 1669137428
Provider Enumeration Date: 11/05/2021
Last Update Date: 04/22/2024

Medicare PECOS Information:

PECOS PAC ID: 1850781220
Enrollment ID: I20211130000864

Medical Identifiers

Medical identifiers for Samantha T Hart such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669137428	NPI	-	NPPES
100188237	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	170962-30 (Wisconsin)	Secondary
363LF0000X	Nurse Practitioner - Family	11524-33 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Nicholas Hospital	Sheboygan, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sheboygan Physicians Group S.c.	0648435214	17

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 T Hart allows following entities to bill medicare on her behalf.

Entity Name	St. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172

Entity Name	St Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423

Entity Name	Sheboygan Physicians Group S.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477819902 PECOS PAC ID: 0648435214 Enrollment ID: O20120705000087

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 T Hart 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 T Hart, APNP 825 Walton Dr, Plymouth, WI 53073-5022 Ph: (920) 892-4322	Samantha T Hart, APNP 825 Walton Dr, Plymouth, WI 53073-5022 Ph: (920) 892-4322

Reviews and Comments

Nurse Practitioner Nurses in Plymouth, WI

Amanda Otte, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Persnickety Pl, Plymouth, WI 53073 Phone: 920-892-3774
Leah Fabis, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: One Persnickety Way, Plymouth, WI 53073 Phone: 888-893-6141 Fax: 608-338-0971
Anna Kutchie, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 825 Walton Dr, Plymouth, WI 53073 Phone: 920-496-4700
Jennifer Lynn Stricker, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Persnickety Pl, Plymouth, WI 53073 Phone: 920-496-4700
Mrs. Katie Sue Bruckner, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Persnickety Pl, Plymouth, WI 53073 Phone: 920-892-3468 Fax: 920-892-5385
Heather Meeusen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 825 Walton Dr, Plymouth, WI 53073 Phone: 920-893-0903
Jennifer Lee Scheel, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Persnickety Pl, Plymouth, WI 53073 Phone: 920-892-3468 Fax: 920-894-5485

Samantha T Hart, APNP - Medicare Nurse Practitioner in Plymouth, WI