Miss Tseday Samuel, ACNP-C - Medicare Nurse Practitioner in Snellville, GA

Miss Tseday Samuel, ACNP-C is a medicare enrolled "Nurse Practitioner - Acute Care" in Snellville, Georgia. She graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northside Cv Professional Services Llc, The Emory Clinic, Inc and her current practice location is 1700 Tree Ln Ste 190, Snellville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 736-6300.

Miss Tseday Samuel is licensed to practice in Georgia (license number RN172768) 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 1528132636.

Contact Information

Miss Tseday Samuel, ACNP-C
1700 Tree Ln Ste 190,
Snellville, GA 30078-6766
(770) 736-6300
Not Available

Map and Direction




Provider's Profile

Full NameMiss Tseday Samuel
GenderFemale
SpecialityNurse Practitioner
Experience22 Years
Location1700 Tree Ln Ste 190, Snellville, Georgia
Accepts Medicare AssignmentsYes. 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 Tseday Samuel graduated from nursing school in 2002
  NPI Data:
  • NPI Number: 1528132636
  • Provider Enumeration Date: 11/20/2006
  • Last Update Date: 05/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8820025000
  • Enrollment ID: I20050719001124

Medical Identifiers

Medical identifiers for Miss Tseday Samuel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528132636NPI-NPPES
923160586AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care RN172768 (Georgia)Primary
363L00000XNurse Practitioner RN172768NP (Georgia)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northside Cv Professional Services Llc488000377147
The Emory Clinic, Inc88209014082687

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 Tseday Samuel allows following entities to bill medicare on her behalf.
Entity NameThe Emory Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396798229
PECOS PAC ID: 8820901408
Enrollment ID: O20031110000503
Entity NameGeorgia Heart Institute Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477976520
PECOS PAC ID: 4183848062
Enrollment ID: O20140616001425
Entity NameNorthside Cv Professional Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821612938
PECOS PAC ID: 4880003771
Enrollment ID: O20210505001504

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 Tseday Samuel 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
Miss Tseday Samuel, ACNP-C
631 Professional Dr, Ste 360,
Lawrenceville, GA 30046-3367

Ph: (770) 962-4895
Miss Tseday Samuel, ACNP-C
1700 Tree Ln Ste 190,
Snellville, GA 30078-6766

Ph: (770) 736-6300

Reviews and Comments


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Micheal Tyrone Wright,
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Medicare: Not Enrolled in Medicare
Practice Location: 1700 Medical Way, Snellville, GA 30078
Phone: 770-979-0200    

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.

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