Annette N Sampson, in Grand Ronde, OR - Medicare Nurse Practitioner

Annette N Sampson, is a medicare enrolled "Nurse Practitioner - Family" in Grand Ronde, Oregon. She went to Oregon Health Sciences University School Of Medicine and graduated in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Confederated Tribes Of The Grand Ronde Community Of Oregon and her current practice location is 9605 Grand Ronde Rd, Grand Ronde, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 879-2002.

Annette N Sampson is licensed to practice in Oregon (license number 202214454NP-PP) 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 1215241708.

Contact Information

	Annette N Sampson,
	9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712
	(503) 879-2002
	(503) 879-2071

Map and Direction

Provider's Profile

Full Name	Annette N Sampson
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	9605 Grand Ronde Rd, Grand Ronde, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Annette N Sampson attended and graduated from Oregon Health Sciences University School Of Medicine in 2022

NPI Data:

NPI Number: 1215241708
Provider Enumeration Date: 07/27/2010
Last Update Date: 07/25/2024

Medicare PECOS Information:

PECOS PAC ID: 5991172926
Enrollment ID: I20221104000945

Medical Identifiers

Medical identifiers for Annette N Sampson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215241708	NPI	-	NPPES
171037	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	201141804RN (Oregon)	Secondary
363LF0000X	Nurse Practitioner - Family	202214454NP-PP (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Willamette Valley Medical Center	Mcminnville, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Confederated Tribes Of The Grand Ronde Community Of Oregon	6103717277	12

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. Annette N Sampson allows following entities to bill medicare on her behalf.

Entity Name	Confederated Tribes Of The Grand Ronde Community Of Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174666358 PECOS PAC ID: 6103717277 Enrollment ID: O20040320000494

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. Annette N Sampson 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
Annette N Sampson, 9615 Grand Ronde Rd, Grand Ronde, OR 97347-9712 Ph: (503) 879-2002	Annette N Sampson, 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 Ph: (503) 879-2002

Reviews and Comments

Nurse Practitioner Nurses in Grand Ronde, OR

Mr. Maurice A Ajaifia, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2026
Ms. Wendy Monette Schmolzi, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2002 Fax: 503-879-2071
Tricia Raye Hayden, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2060
Chantel M Allen, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2002 Fax: 503-879-2071
Deborah Anne Samoson, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2002

Annette N Sampson, - Medicare Nurse Practitioner in Grand Ronde, OR