Mr Derick Ngufor Samafuhbi, PA-C - Medicare Physician Assistant in Liberal, KS

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Mr Derick Ngufor Samafuhbi, PA-C is a medicare enrolled "Physician Assistant" in Liberal, Kansas. He graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Ascension Via Christi Hospital Manhattan Inc, Physicians Of Cape Cod Hospital and his current practice location is 315 W 15th St, Liberal, Kansas. You can reach out to his office (for appointments etc.) via phone at (620) 629-6477.

Mr Derick Ngufor Samafuhbi is licensed to practice in Kansas (license number 1501801) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770972184.

Contact Information

Mr Derick Ngufor Samafuhbi, PA-C
315 W 15th St,
Liberal, KS 67901-2455
(620) 629-6477
(620) 629-6651

Map and Direction




Provider's Profile

Full NameMr Derick Ngufor Samafuhbi
GenderMale
SpecialityPhysician Assistant
Experience12 Years
Location315 W 15th St, Liberal, Kansas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Derick Ngufor Samafuhbi graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1770972184
  • Provider Enumeration Date: 01/22/2015
  • Last Update Date: 11/10/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1759697360
  • Enrollment ID: I20160414001655

Medical Identifiers

Medical identifiers for Mr Derick Ngufor Samafuhbi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770972184NPI-NPPES
200631770AMedicaidOK
201134920AMedicaidKS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA2321 (Maine)Secondary
363A00000XPhysician Assistant 8803 (Georgia)Secondary
363A00000XPhysician Assistant 1501801 (Kansas)Primary
363A00000XPhysician Assistant 0110005063 (Virginia)Secondary
363A00000XPhysician Assistant 024081-01 (New York)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cape Cod HospitalHyannis, MAHospital
Ascension Via Christi Hospital Manhattan, IncManhattan, KSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ascension Via Christi Hospital Manhattan Inc286030342731
Physicians Of Cape Cod Hospital9638326671330

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. Mr Derick Ngufor Samafuhbi allows following entities to bill medicare on his behalf.
Entity NameAscension Via Christi Hospital Manhattan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144220153
PECOS PAC ID: 2860303427
Enrollment ID: O20031110000486

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. Mr Derick Ngufor Samafuhbi 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
Mr Derick Ngufor Samafuhbi, PA-C
Po Box 1215, Attn Clinic Billing Office,
Liberal, KS 67905-1215

Ph: (620) 629-6638		Mr Derick Ngufor Samafuhbi, PA-C
315 W 15th St,
Liberal, KS 67901-2455

Ph: (620) 629-6477

Reviews and Comments


Physician Assistant Nurses in Liberal, KS

Unnati Basnyat, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 315 W 15th St, Liberal, KS 67901
Phone: 620-629-6477    Fax: 620-629-6651
Lauren Taylor Boyce, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 315 W 15th St, Liberal, KS 67901
Phone: 620-629-6477    Fax: 620-629-6651
Livan Perez,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 315 W 15th St, Liberal, KS 67901
Phone: 620-624-1651    
Marlon S Bazan, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 315 W 15th St, Liberal, KS 67901
Phone: 620-629-6477    Fax: 620-629-6651
Elyse Ann Jablonski, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 315 W 15th St, Liberal, KS 67901
Phone: 620-629-6477    Fax: 620-629-6651
Mr. Bereket T Woldemariam, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 315 W 15th St, Liberal, KS 67901
Phone: 620-629-6477    Fax: 620-629-6651
Mr. Bishal Bista, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 315 W 15th St, Liberal, KS 67901
Phone: 620-629-6477    Fax: 620-629-6651

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.