Samantha Marie Lease, DO is a medicare enrolled "Family Medicine" physician in Blue Mounds, Wisconsin. She went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 2023 and has 3 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice The Monroe Clinic, Inc. and her current practice location is
10345 County Road Id, Blue Mounds, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 590-2973.
Samantha Marie Lease is licensed to practice in Wisconsin (license number 81708-21) 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 1336834662.
Physician's Profile
| Full Name | Samantha Marie Lease |
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| Gender | Female |
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| Speciality | Emergency Medicine |
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| Experience | 3 Years |
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| Location | 10345 County Road Id, Blue Mounds, Wisconsin |
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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. |
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Medical Education and Training:
- Samantha Marie Lease attended and graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 2023
NPI Data:
- NPI Number: 1336834662
- Provider Enumeration Date: 04/11/2023
- Last Update Date: 06/10/2026
Medicare PECOS Information:
- PECOS PAC ID: 6204295629
- Enrollment ID: I20250326001615
Medical Identifiers
Medical identifiers for Samantha Marie Lease such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336834662 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 81708-21 (Wisconsin) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | 81708 (Wisconsin) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| The Monroe Clinic, Inc. | 3072425495 | 202 |
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. Samantha Marie Lease allows following entities to bill medicare on her behalf.
| Entity Name | The Monroe Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386720548
PECOS PAC ID: 3072425495
Enrollment ID: O20031104000392 |
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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. Samantha Marie Lease 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 |
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Samantha Marie Lease, DO
10345 County Road Id,
Blue Mounds, WI 53517-9646
Ph: (608) 590-2973 | Samantha Marie Lease, DO
10345 County Road Id,
Blue Mounds, WI 53517-9646
Ph: (608) 590-2973 |
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