Johelen Jean Sampson, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Portsmouth, Ohio. Her current practice location is
1248 Kinney's Lane, Portsmouth, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 356-7290.
Johelen Jean Sampson is licensed to practice in * (Not Available) (license number ) 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 1255071205.
Physician's Profile
Full Name | Johelen Jean Sampson |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1248 Kinney's Lane, Portsmouth, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255071205
- Provider Enumeration Date: 03/29/2022
- Last Update Date: 06/23/2025
Medicare PECOS Information:
- PECOS PAC ID: 4082091418
- Enrollment ID: I20220524001600
Medical Identifiers
Medical identifiers for Johelen Jean Sampson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255071205 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 34.017955 (Ohio) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Johelen Jean Sampson 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 |
Johelen Jean Sampson, DO 1248 Kinney's Lane, Portsmouth, OH 45662 Ph: (740) 356-7290 | Johelen Jean Sampson, DO 1248 Kinney's Lane, Portsmouth, OH 45662 Ph: (740) 356-7290 |
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