Mrs Samantha Reis, APRN, FNP-BC, CEN is a medicare enrolled "Nurse Practitioner - Family" physician in Fort Worth, Texas. She graduated from medical school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Primary Health Physicians Pllc and her current practice location is
5653 Mcpherson Blvd, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at
(682) 354-3100.
Mrs Samantha Reis is licensed to practice in Texas (license number AP142039) 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 1497317564.
Physician's Profile
| Full Name | Mrs Samantha Reis |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 5653 Mcpherson Blvd, Fort Worth, Texas |
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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:
- Mrs Samantha Reis graduated from medical school in 2019
NPI Data:
- NPI Number: 1497317564
- Provider Enumeration Date: 06/28/2019
- Last Update Date: 11/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 7810329216
- Enrollment ID: I20191122000607
Medical Identifiers
Medical identifiers for Mrs Samantha Reis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1497317564 | NPI | - | NPPES |
| AP142039 | Other | TX | TEXAS APRN LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | AP142039 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP142039 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Primary Health Physicians Pllc | 7810237740 | 199 |
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. Mrs Samantha Reis allows following entities to bill medicare on her behalf.
| Entity Name | Concord Medical Group Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
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| Entity Name | Concord Medical Group Of Texas Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
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| Entity Name | Concord North Texas Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952761173 PECOS PAC ID: 2860791688 Enrollment ID: O20160429000472 |
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| Entity Name | Primary Health Physicians Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770048704 PECOS PAC ID: 7810237740 Enrollment ID: O20190312003418 |
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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. Mrs Samantha Reis 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 |
Mrs Samantha Reis, APRN, FNP-BC, CEN 7801 County Road 915b, Joshua, TX 76058-2200 Ph: (817) 907-4014 | Mrs Samantha Reis, APRN, FNP-BC, CEN 5653 Mcpherson Blvd, Fort Worth, TX 76123-6023 Ph: (682) 354-3100 |
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