Samantha May Delacey, is a medicare enrolled "Physician Assistant" physician in Saint Paul, Minnesota. She graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Group Health Plan Inc and her current practice location is
401 Phalen Blvd, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 254-7980.
Samantha May Delacey is licensed to practice in Minnesota (license number 14144) 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 1013663012.
Physician's Profile
| Full Name | Samantha May Delacey |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 4 Years |
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| Location | 401 Phalen Blvd, Saint Paul, Minnesota |
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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 May Delacey graduated from medical school in 2022
NPI Data:
- NPI Number: 1013663012
- Provider Enumeration Date: 02/28/2022
- Last Update Date: 12/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 5092191635
- Enrollment ID: I20221004003620
Medical Identifiers
Medical identifiers for Samantha May Delacey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013663012 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 14144 (Minnesota) | Secondary |
| 363A00000X | Physician Assistant | 14144 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Group Health Plan Inc | 1759293954 | 1487 |
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 May Delacey 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 May Delacey,
8170 33rd Ave S # Ms 21110q,
Bloomington, MN 55425-4516
Ph: () - | Samantha May Delacey,
401 Phalen Blvd,
Saint Paul, MN 55130-5302
Ph: (651) 254-7980 |
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