Jennifer Herberger Samuel, NP-BC is a medicare enrolled "Nurse Practitioner - Family" physician in Leesburg, Virginia. She graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Inova Ucc Llc, Inova Ucc Llc and her current practice location is
531 E Market St, Leesburg, Virginia. You can reach out to her office (for appointments etc.) via phone at
(301) 428-1070.
Jennifer Herberger Samuel is licensed to practice in Virginia (license number 0024186818) 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 1689350977.
Physician's Profile
| Full Name | Jennifer Herberger Samuel |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 531 E Market St, Leesburg, Virginia |
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| 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:
- Jennifer Herberger Samuel graduated from medical school in 2022
NPI Data:
- NPI Number: 1689350977
- Provider Enumeration Date: 06/22/2023
- Last Update Date: 10/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 3173986429
- Enrollment ID: I20230905000177
Medical Identifiers
Medical identifiers for Jennifer Herberger Samuel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1689350977 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 0024186818 (Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0024186818 (Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Inova Ucc Llc | 7012385040 | 120 |
| Inova Ucc Llc | 7012385040 | 120 |
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. Jennifer Herberger Samuel allows following entities to bill medicare on her behalf.
| Entity Name | Medical Access Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144291204 PECOS PAC ID: 9335405844 Enrollment ID: O20171115002420 |
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| Entity Name | Manbir Takhar, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457322505 PECOS PAC ID: 0749206951 Enrollment ID: O20171116002712 |
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| Entity Name | Inova Ucc Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508592114 PECOS PAC ID: 7012385040 Enrollment ID: O20221123001904 |
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| Entity Name | Tru Health Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194471946 PECOS PAC ID: 6406216183 Enrollment ID: O20230712004006 |
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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. Jennifer Herberger Samuel 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 |
Jennifer Herberger Samuel, NP-BC 20730 Ruffsdale Ct, Ashburn, VA 20147-2843 Ph: (571) 212-2614 | Jennifer Herberger Samuel, NP-BC 531 E Market St, Leesburg, VA 20176-4115 Ph: (301) 428-1070 |
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