Miss Samantha Manuel I, NP-C in Johnson City, TN

Miss Samantha Manuel I, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Johnson City, Tennessee. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fast Pace Medical Clinic Pllc and her current practice location is 1021 W Oakland Ave, Suite 301, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 952-8000.

Miss Samantha Manuel I is licensed to practice in Tennessee (license number 19279) 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 1013314384.

Contact Information

	Miss Samantha Manuel I, NP-C
	1021 W Oakland Ave, Suite 301, Johnson City, TN 37604-2191
	(423) 952-8000
	(423) 952-8001

Map and Direction

Provider's Profile

Full Name	Miss Samantha Manuel I
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	1021 W Oakland Ave, Johnson City, Tennessee
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:

Miss Samantha Manuel I graduated from nursing school in 2014

NPI Data:

NPI Number: 1013314384
Provider Enumeration Date: 12/02/2014
Last Update Date: 02/16/2017

Medicare PECOS Information:

PECOS PAC ID: 6507180148
Enrollment ID: I20151013002276

Medical Identifiers

Medical identifiers for Miss Samantha Manuel I such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013314384	NPI	-	NPPES
1013314384	Medicaid	VA
Q014674	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5007356 (North Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	19279 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fast Pace Medical Clinic Pllc	5395881841	510

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. Miss Samantha Manuel I allows following entities to bill medicare on her behalf.

Entity Name	Blue Ridge Medical Management Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144380833 PECOS PAC ID: 9739099441 Enrollment ID: O20031204000996

Entity Name	Fast Pace Medical Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112

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. Miss Samantha Manuel I 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
Miss Samantha Manuel I, NP-C 1021 W Oakland Ave, Suite 301, Johnson City, TN 37604-2191 Ph: (423) 952-8000	Miss Samantha Manuel I, NP-C 1021 W Oakland Ave, Suite 301, Johnson City, TN 37604-2191 Ph: (423) 952-8000

Reviews and Comments

Nurse Practitioner Nurses in Johnson City, TN

Amber Ramsey, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615 Phone: 423-282-1480 Fax: 423-928-1353
Connie T Rutledge, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604 Phone: 423-794-5520 Fax: 423-282-6940
Charity Helton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 325 N. State Of Franklin Road, Ground Fl, Johnson City, TN 37604 Phone: 423-439-7320
Meghan Marie Hollier, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1018 Chase Dr, Johnson City, TN 37604 Phone: 423-282-3379 Fax: 423-430-6227
Michael David Smith, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3019 Peoples St # Condo300, Johnson City, TN 37604 Phone: 423-461-2100 Fax: 423-461-2199
Shelly J Mcintosh, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Med Tech Pkwy, Suite 240, Johnson City, TN 37604 Phone: 423-794-5520 Fax: 423-282-0720

Miss Samantha Manuel I, NP-C - Medicare Nurse Practitioner in Johnson City, TN