Samantha Demoss, is a medicare enrolled "Surgery" physician in Mooresville, Indiana. Her current practice location is
1215 Hadley Rd Ste 201, Mooresville, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 834-9618.
Samantha Demoss is licensed to practice in Illinois (license number 125.075907) 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 1629605480.
Physician's Profile
| Full Name | Samantha Demoss |
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| Gender | Female |
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| Speciality | Surgery |
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| Location | 1215 Hadley Rd Ste 201, Mooresville, Indiana |
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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: 1629605480
- Provider Enumeration Date: 03/23/2020
- Last Update Date: 06/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 2860818218
- Enrollment ID: I20200814002042
Medical Identifiers
Medical identifiers for Samantha Demoss such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629605480 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 01095693B (Indiana) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 208600000X | Surgery | 125.075907 (Illinois) | 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. Samantha Demoss 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 |
Samantha Demoss, 1215 Hadley Rd Ste 201, Mooresville, IN 46158-2907 Ph: (317) 834-9618 | Samantha Demoss, 1215 Hadley Rd Ste 201, Mooresville, IN 46158-2907 Ph: (317) 834-9618 |
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