Samuel Bryan Wood, - Medicare Nurse Practitioner in Fort Defiance, AZ

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Samuel Bryan Wood, is a medicare enrolled "Nurse Practitioner - Family" physician in Fort Defiance, Arizona. His current practice location is Corner Of Route N12 And N7, Fort Defiance, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 729-8600.

Samuel Bryan Wood is licensed to practice in Colorado (license number APN.0997339-NP) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154835197.

Contact Information

Samuel Bryan Wood,
Corner Of Route N12 And N7,
Fort Defiance, AZ 86504
(928) 729-8600
Not Available

Map and Direction




Physician's Profile

Full NameSamuel Bryan Wood
GenderMale
SpecialityNurse Practitioner - Family
LocationCorner Of Route N12 And N7, Fort Defiance, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154835197
  • Provider Enumeration Date: 11/29/2017
  • Last Update Date: 10/28/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5698035582
  • Enrollment ID: I20190211001148

Medical Identifiers

Medical identifiers for Samuel Bryan Wood such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154835197NPI-NPPES
00000000000MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PE0004XEmergency Medicine - Emergency Medical Services 00000000000 (Virginia)Secondary
363LA2100XNurse Practitioner - Acute Care 000000000000 (Virginia)Secondary
363LC0200XNurse Practitioner - Critical Care Medicine 000000000000 (Virginia)Secondary
363LF0000XNurse Practitioner - Family APN.0997339-NP (Colorado)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. Samuel Bryan Wood allows following entities to bill medicare on his behalf.
Entity NameThe Fort Defiance Indian Hospital Board, Incorporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477876639
PECOS PAC ID: 0941336697
Enrollment ID: O20100429001153

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. Samuel Bryan Wood 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 AddressPractice Location Address
Samuel Bryan Wood,
Po Box 649,
Fort Defiance, AZ 86504-0649

Ph: () -		Samuel Bryan Wood,
Corner Of Route N12 And N7,
Fort Defiance, AZ 86504

Ph: (928) 729-8600

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.