Caroline E Sam, - Medicare Nurse Practitioner in Dallas, TX

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Caroline E Sam, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Dallas, Texas. Her current practice location is 4215 Gannon Ln, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 283-9090.

Caroline E Sam is licensed to practice in Texas (license number 1106805) 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 1932507274.

Contact Information

Caroline E Sam,
4215 Gannon Ln,
Dallas, TX 75237-2914
(972) 283-9090
(972) 499-0367

Map and Direction




Provider's Profile

Full NameCaroline E Sam
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location4215 Gannon Ln, Dallas, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1932507274
  • Provider Enumeration Date: 12/19/2014
  • Last Update Date: 02/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7719350552
  • Enrollment ID: I20230227001706

Medical Identifiers

Medical identifiers for Caroline E Sam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932507274NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 1106805 (Texas)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. Caroline E Sam allows following entities to bill medicare on her behalf.
Entity NameFaith Behavioral Health Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639705130
PECOS PAC ID: 4688079148
Enrollment ID: O20210820001697
Entity NameGrow Healthcare Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20220525002138

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. Caroline E 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
Caroline E Sam,
508 Airport Executive Boulevard,
Nanuet, NY 10958

Ph: (845) 425-2655		Caroline E Sam,
4215 Gannon Ln,
Dallas, TX 75237-2914

Ph: (972) 283-9090

Reviews and Comments


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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).

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