Samantha Watanapongse Pollock, APRN - Medicare Nurse Practitioner in Manchester, MO

Samantha Watanapongse Pollock, APRN is a medicare enrolled "Nurse Practitioner - Adult Health" in Manchester, Missouri. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Anodyne Of Manchester, Llc and her current practice location is 1001 Brittany Pkwy, Manchester, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 330-7246.

Samantha Watanapongse Pollock is licensed to practice in Missouri (license number 2020038833) 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 1366997306.

Contact Information

Samantha Watanapongse Pollock, APRN
1001 Brittany Pkwy,
Manchester, MO 63011-4325
(636) 330-7246
Not Available

Map and Direction




Provider's Profile

Full NameSamantha Watanapongse Pollock
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location1001 Brittany Pkwy, Manchester, Missouri
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 Watanapongse Pollock graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1366997306
  • Provider Enumeration Date: 08/19/2016
  • Last Update Date: 03/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0143509034
  • Enrollment ID: I20210218002531

Medical Identifiers

Medical identifiers for Samantha Watanapongse Pollock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366997306NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 0121921 (Oklahoma)Secondary
363LA2200XNurse Practitioner - Adult Health 2020038833 (Missouri)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Anodyne Of Manchester, Llc40820293762

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 Watanapongse Pollock allows following entities to bill medicare on her behalf.
Entity NameAnodyne Of Manchester, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376149393
PECOS PAC ID: 4082029376
Enrollment ID: O20210218002368
Entity NameUnited Wound Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124893888
PECOS PAC ID: 9436500311
Enrollment ID: O20240104001834

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 Watanapongse Pollock 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 Watanapongse Pollock, APRN
1001 Brittany Pkwy Ste B,
Manchester, MO 63011-4325

Ph: () -
Samantha Watanapongse Pollock, APRN
1001 Brittany Pkwy,
Manchester, MO 63011-4325

Ph: (636) 330-7246

Reviews and Comments


Nurse Practitioner Nurses in Manchester, MO

Karen Marie Rottler,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1 Stonegate Ctr, Manchester, MO 63088
Phone: 636-431-0030    
Mrs. Jeanine Michelle Weinkauf, AGNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 14615 Manchester Rd Ste 103, Manchester, MO 63011
Phone: 314-282-5121    
Michael Puff, DNP, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 409 Lafayette Ctr, Manchester, MO 63011
Phone: 636-707-0764    
Mrs. Mary K. Cook, NP-C
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 13992 Manchester Rd, Manchester, MO 63011
Phone: 866-825-3227    
Cathy Chambliss, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1004 Sulphur Spring Rd, Manchester, MO 63021
Phone: 573-631-6463    
Matthew Keen, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 409 Lafayette Ctr, Manchester, MO 63011
Phone: 636-707-0764    Fax: 636-707-0520

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.