Kristen Lahm Samuelson, PA is a medicare enrolled "Hospitalist" in Charlotte, North Carolina. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Carolinas Medical Center and her current practice location is
1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 381-8840.
Kristen Lahm Samuelson is licensed to practice in North Carolina (license number 0010-07054) 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 1740728021.
Provider's Profile
| Full Name | Kristen Lahm Samuelson |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 10 Years |
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| Location | 1001 Blythe Blvd, Charlotte, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kristen Lahm Samuelson graduated from nursing school in 2016
NPI Data:
- NPI Number: 1740728021
- Provider Enumeration Date: 02/07/2017
- Last Update Date: 03/11/2026
Medicare PECOS Information:
- PECOS PAC ID: 0042596124
- Enrollment ID: I20170405000378
Medical Identifiers
Medical identifiers for Kristen Lahm Samuelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740728021 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 0010-07054 (North Carolina) | Secondary |
| 208M00000X | Hospitalist | 0010-07054 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Carolinas Medical Center | 4789597477 | 1057 |
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. Kristen Lahm Samuelson allows following entities to bill medicare on her behalf.
| Entity Name | Carolinas Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275774333
PECOS PAC ID: 4789597477
Enrollment ID: O20031110000116 |
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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. Kristen Lahm Samuelson 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 |
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Kristen Lahm Samuelson, PA
Po Box 19305,
Charlotte, NC 28219-9305
Ph: Not Available | Kristen Lahm Samuelson, PA
1001 Blythe Blvd, Medical Center Plaza Suite 200,
Charlotte, NC 28203-5866
Ph: (704) 381-8840 |
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