Dr Samantha R Avery, DO is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in South Pasadena, Florida. She graduated from medical school in 2008 and has 18 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). She is a member of the group practice Primary Care Partners Inc, Family Practice Center Pc and her current practice location is
1615 Pasadena Ave S Ste 300, South Pasadena, Florida. You can reach out to her office (for appointments etc.) via phone at
(277) 490-3030.
Dr Samantha R Avery is licensed to practice in Florida (license number OS 11371) 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 1215178090.
Physician's Profile
| Full Name | Dr Samantha R Avery |
|---|
| Gender | Female |
|---|
| Speciality | Cardiovascular Disease (cardiology) |
|---|
| Experience | 18 Years |
|---|
| Location | 1615 Pasadena Ave S Ste 300, South Pasadena, Florida |
|---|
| 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:
- Dr Samantha R Avery graduated from medical school in 2008
NPI Data:
- NPI Number: 1215178090
- Provider Enumeration Date: 03/09/2009
- Last Update Date: 10/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 0143443697
- Enrollment ID: I20230331002692
Medical Identifiers
Medical identifiers for Dr Samantha R Avery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215178090 | NPI | - | NPPES |
| HT787Z | Other | FL | MEDICARE ID-TYPE UNSPECIFIED |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 34.016407 (Ohio) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | OS022821 (Pennsylvania) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | DO214145 (Oregon) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 01089349A (Indiana) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 73591 (Connecticut) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | OS 11371 (Florida) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 010143 (Arizona) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | DR.0070152 (Colorado) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 92684 (South Carolina) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 339916 (New York) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 25MB11818700 (North Carolina) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | DO2023-1051 (New Mexico) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | DO3464 (Nevada) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 25MB11818700 (New Jersey) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Primary Care Partners Inc | 7810893161 | 65 |
| Family Practice Center Pc | 0244124212 | 325 |
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. Dr Samantha R Avery allows following entities to bill medicare on her behalf.
| Entity Name | Primary Care Partners Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1245392612
PECOS PAC ID: 7810893161
Enrollment ID: O20031209000400 |
|---|
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. Dr Samantha R Avery 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 |
|---|
Dr Samantha R Avery, DO
4560 7th Ave N,
St Petersburg, FL 33713-6218
Ph: (407) 719-3370 | Dr Samantha R Avery, DO
1615 Pasadena Ave S Ste 300,
South Pasadena, FL 33707-4567
Ph: (277) 490-3030 |
Reviews and Comments