Samantha Y King, MD in South Boston, VA

Samantha Y King, MD is a medicare enrolled "Pediatrics" physician in South Boston, Virginia. Her current practice location is 1627 Seymour Dr, South Boston, Virginia. You can reach out to her office (for appointments etc.) via phone at (434) 575-1336.

Samantha Y King is licensed to practice in Virginia (license number 0101234104) 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 1639147739.

Contact Information

	Samantha Y King, MD
	1627 Seymour Dr, South Boston, VA 24592-3447
	(434) 575-1336
	(434) 575-1349

Map and Direction

Physician's Profile

Full Name	Samantha Y King
Gender	Female
Speciality	Pediatrics
Location	1627 Seymour Dr, South Boston, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639147739
Provider Enumeration Date: 03/14/2006
Last Update Date: 01/31/2020

Medicare PECOS Information:

PECOS PAC ID: 7719916204
Enrollment ID: I20161109000269

Medical Identifiers

Medical identifiers for Samantha Y King such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639147739	NPI	-	NPPES
006738567	Medicaid	VA
62490	Other	VA	OPTIMA
246295	Other	VA	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	0101234104 (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 Y King allows following entities to bill medicare on her behalf.

Entity Name	Piedmont Access To Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649240698 PECOS PAC ID: 3476512427 Enrollment ID: O20050304000592

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 Y King 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 Y King, MD 1627 Seymour Dr, South Boston, VA 24592-3447 Ph: (434) 575-1336	Samantha Y King, MD 1627 Seymour Dr, South Boston, VA 24592-3447 Ph: (434) 575-1336

Reviews and Comments

Pediatrics Doctors in South Boston, VA

Maria Precious Tangan Torres, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-8022 Fax: 434-517-8022
Dr. Candace Renee Clocker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-8022 Fax: 434-517-8370
Nonna Lyn M Ebalo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2212 Wilborn Ave, South Boston, VA 24592 Phone: 434-572-8921 Fax: 434-572-2063

Samantha Y King, MD - Medicare Pediatrics in South Boston, VA