Samantha Rae Nibert, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Glen Dale, West Virginia. Her current practice location is
800 Wheeling Ave, Glen Dale, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(048) 453-2113.
Samantha Rae Nibert is licensed to practice in West Virginia (license number 4409) 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 1366078255.
Physician's Profile
| Full Name | Samantha Rae Nibert |
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| Gender | Female |
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| Speciality | Obstetrics & Gynecology |
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| Location | 800 Wheeling Ave, Glen Dale, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1366078255
- Provider Enumeration Date: 03/23/2020
- Last Update Date: 04/03/2026
Medicare PECOS Information:
- PECOS PAC ID: 5395284160
- Enrollment ID: I20240823002743
Medical Identifiers
Medical identifiers for Samantha Rae Nibert such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1366078255 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | OS22132 (Florida) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 4409 (West Virginia) | Primary |
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 Rae Nibert allows following entities to bill medicare on her behalf.
| Entity Name | Wheeling Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548923923
PECOS PAC ID: 5799689493
Enrollment ID: O20031124000706 |
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| Entity Name | Reynolds Memorial Hospital, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518068014
PECOS PAC ID: 9830184530
Enrollment ID: O20040420000896 |
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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 Rae Nibert 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 Rae Nibert, DO
164 Ridgeview Estates Road,
Chapmanville, WV 25508
Ph: (304) 640-5070 | Samantha Rae Nibert, DO
800 Wheeling Ave,
Glen Dale, WV 26038-1660
Ph: (048) 453-2113 |
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