Samantha Samaryczew, is a medicare enrolled "Physician Assistant" physician in Lake Barrington, Illinois. She graduated from medical school in 2025 and has 1 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Edgebrook Dermatology P.c. and her current practice location is
378 White Oak Ln, Lake Barrington, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 307-3245.
Samantha Samaryczew is licensed to practice in Illinois (license number 085.011284) 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 1952087181.
Physician's Profile
| Full Name | Samantha Samaryczew |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 1 Years |
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| Location | 378 White Oak Ln, Lake Barrington, Illinois |
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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 Samaryczew graduated from medical school in 2025
NPI Data:
- NPI Number: 1952087181
- Provider Enumeration Date: 06/22/2023
- Last Update Date: 03/11/2026
Medicare PECOS Information:
- PECOS PAC ID: 7113417940
- Enrollment ID: I20251110000110
Medical Identifiers
Medical identifiers for Samantha Samaryczew such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952087181 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 085.011284 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | 085.011284 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Edgebrook Dermatology P.c. | 3476650060 | 6 |
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 Samaryczew 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 Samaryczew,
378 White Oak Ln,
Lake Barrington, IL 60010-6223
Ph: (815) 307-3245 | Samantha Samaryczew,
378 White Oak Ln,
Lake Barrington, IL 60010-6223
Ph: (815) 307-3245 |
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