Samara Peters, DO in Mount Holly, NJ

Samara Peters, DO is a medicare enrolled "Pediatrics" physician in Mount Holly, New Jersey. Her current practice location is 175 Madison Ave, Mount Holly, New Jersey. You can reach out to her office (for appointments etc.) via phone at (856) 247-3000.

Samara Peters is licensed to practice in Oklahoma (license number 4540) 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 1164600938.

Contact Information

	Samara Peters, DO
	175 Madison Ave, Mount Holly, NJ 08060-2038
	(856) 247-3000
	Not Available

Map and Direction

Physician's Profile

Full Name	Samara Peters
Gender	Female
Speciality	Pediatrics
Location	175 Madison Ave, Mount Holly, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164600938
Provider Enumeration Date: 02/04/2008
Last Update Date: 06/11/2026

Medicare PECOS Information:

PECOS PAC ID: 0244454288
Enrollment ID: I20140613001848

Medical Identifiers

Medical identifiers for Samara Peters such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164600938	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	4540 (Oklahoma)	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. Samara Peters allows following entities to bill medicare on her behalf.

Entity Name	Dhhs Phs Naihs Shiprock Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809

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. Samara Peters 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
Samara Peters, DO 175 Madison Ave, Mount Holly, NJ 08060-2038 Ph: () -	Samara Peters, DO 175 Madison Ave, Mount Holly, NJ 08060-2038 Ph: (856) 247-3000

Reviews and Comments

Pediatrics Doctors in Mount Holly, NJ

Avinash Gabbeta, Pediatrics Medicare: Medicare Enrolled Practice Location: 175 Madison Ave, Mount Holly, NJ 08060 Phone: 609-914-6610 Fax: 609-914-6611
Michael F. Maraventano, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 175 Madison Ave, Chop Care Network @virtua Memorial Hospital, Mount Holly, NJ 08060 Phone: 609-914-6226 Fax: 609-261-5842
Dr. Mohammad A Arshad, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 16 Buckingham Dr, Mount Holly, NJ 08060 Phone: 609-267-3468
Kelly Ca, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 175 Madison Ave, Mount Holly, NJ 08060 Phone: 609-267-0700

Samara Peters, DO - Medicare Pediatrics in Mount Holly, NJ