Shandiin Allura Sam, - Medicare Family Practice in Camp Verde, AZ

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Shandiin Allura Sam, is a medicare enrolled "Family Medicine" physician in Camp Verde, Arizona. She graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Dhew Ind Hlth Sv Hlth Svs And Mntl Hlth Adm and her current practice location is 2400 W Datsi St, Camp Verde, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 263-1200.

Shandiin Allura Sam is licensed to practice in Arizona (license number 73786) 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 1700466950.

Contact Information

Shandiin Allura Sam,
2400 W Datsi St,
Camp Verde, AZ 86322-8412
(602) 263-1200
(602) 263-1619

Map and Direction




Physician's Profile

Full NameShandiin Allura Sam
GenderFemale
SpecialityFamily Practice
Experience5 Years
Location2400 W Datsi St, Camp Verde, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shandiin Allura Sam graduated from medical school in 2021
  NPI Data:
  • NPI Number: 1700466950
  • Provider Enumeration Date: 04/12/2021
  • Last Update Date: 06/03/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1456743863
  • Enrollment ID: I20250407002254

Medical Identifiers

Medical identifiers for Shandiin Allura Sam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700466950NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 73786 (Arizona)Primary
390200000XStudent In An Organized Health Care Education/training Program (New Mexico)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Phoenix Indian Medical CenterPhoenix, AZHospital
Verde Valley Medical CenterCottonwood, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dhew Ind Hlth Sv Hlth Svs And Mntl Hlth Adm1759290901225

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. Shandiin Allura Sam allows following entities to bill medicare on her behalf.
Entity NameDhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083643738
PECOS PAC ID: 1759290901
Enrollment ID: O20031105000797

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. Shandiin Allura Sam 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
Shandiin Allura Sam,
Po Box 95460,
Cleveland, OH 44101-0033

Ph: (602) 581-6076		Shandiin Allura Sam,
2400 W Datsi St,
Camp Verde, AZ 86322-8412

Ph: (602) 263-1200

Reviews and Comments


Family Medicine Doctors in Camp Verde, AZ

Mr. Anjaneyulu Kosaraju, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1298 W Finnie Flat Rd, Camp Verde, AZ 86322
Phone: 928-639-5555    
Dr. Thomas Clarence Scherich, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 460 Finnie Flat Rd, Camp Verde, AZ 86322
Phone: 928-639-5550    Fax: 928-639-5566
Ronald Eugene Parfitt, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 348 S Main St, Camp Verde, AZ 86322
Phone: 928-649-6477    Fax: 928-567-7172

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.