Samantha Nicole Lillico, FNP-C in Saint Louis, MO

Samantha Nicole Lillico, FNP-C is a medicare enrolled "Nurse Practitioner" in Saint Louis, Missouri. Her current practice location is 9556 Manchester Rd, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 961-2255.

Samantha Nicole Lillico is licensed to practice in Indiana (license number 71007531A) 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 1093225815.

Contact Information

	Samantha Nicole Lillico, FNP-C
	9556 Manchester Rd, Saint Louis, MO 63119
	(314) 961-2255
	Not Available

Map and Direction

Provider's Profile

Full Name	Samantha Nicole Lillico
Gender	Female
Speciality	Nurse Practitioner
Location	9556 Manchester Rd, Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093225815
Provider Enumeration Date: 10/06/2017
Last Update Date: 05/21/2018

Medicare PECOS Information:

PECOS PAC ID: 6002171162
Enrollment ID: I20180521002622

Medical Identifiers

Medical identifiers for Samantha Nicole Lillico such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093225815	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	2017024415 (Missouri)	Secondary
363L00000X	Nurse Practitioner	71007531A (Indiana)	Primary

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 Nicole Lillico allows following entities to bill medicare on her behalf.

Entity Name	Mercy Clinic Adult Critical Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730119421 PECOS PAC ID: 3779512041 Enrollment ID: O20050808000024

Entity Name	Total Access Urgent Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962684886 PECOS PAC ID: 8820171929 Enrollment ID: O20080213000227

Entity Name	Mercy Aco Clinical Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063965093 PECOS PAC ID: 6901188572 Enrollment ID: O20170117001888

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 Nicole Lillico 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 Nicole Lillico, FNP-C 628 Woodstream Dr, Saint Charles, MO 63304-7971 Ph: (636) 255-8090	Samantha Nicole Lillico, FNP-C 9556 Manchester Rd, Saint Louis, MO 63119 Ph: (314) 961-2255

Reviews and Comments

Nurse Practitioner Nurses in Saint Louis, MO

Stephanie Lynn Shorey, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 621 S New Ballas Rd, Suite 2007b, Saint Louis, MO 63141 Phone: 314-991-5000
Mr. Gary John Gardner, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4251 Forest Park Ave, Saint Louis, MO 63108 Phone: 618-363-9545
Ms. Kim M French, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4921 Parkview Pl, Div Im Hematology, Ste 7b, Saint Louis, MO 63110 Phone: 314-362-7216 Fax: 314-362-8813
Barbara Ann Giese, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 456 N New Ballas Rd, Suite 304, Saint Louis, MO 63141 Phone: 314-567-6868 Fax: 314-567-0578
Mrs. Anna Ouida Barton, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9450 Manchester Rd Ste 206, Saint Louis, MO 63119 Phone: 314-725-9300
Mrs. Emily Carol Kemp, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Parkview Pl, Div Im Medical Oncology, Saint Louis, MO 63110 Phone: 800-647-2098 Fax: 314-362-3192
Mrs. Michelle Marie Bloom, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185

Samantha Nicole Lillico, FNP-C - Medicare Nurse Practitioner in Saint Louis, MO