Mr Samir Golos, in Moorhead, MN - Medicare Nurse Practitioner

Mr Samir Golos, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Moorhead, Minnesota. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Sanford Medical Center Fargo and his current practice location is 1301 8th St S, Moorhead, Minnesota. You can reach out to his office (for appointments etc.) via phone at (701) 234-3100.

Mr Samir Golos is licensed to practice in North Dakota (license number R42002) 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 1326655689.

Contact Information

	Mr Samir Golos,
	1301 8th St S, Moorhead, MN 56560-3604
	(701) 234-3100
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Samir Golos
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	1301 8th St S, Moorhead, Minnesota
Accepts Medicare Assignments	Yes. 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 Samir Golos graduated from nursing school in 2020

NPI Data:

NPI Number: 1326655689
Provider Enumeration Date: 09/30/2020
Last Update Date: 03/04/2022

Medicare PECOS Information:

PECOS PAC ID: 8628481934
Enrollment ID: I20210121001688

Medical Identifiers

Medical identifiers for Mr Samir Golos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326655689	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R42002 (North Dakota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sanford Medical Center Fargo	Fargo, ND	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sanford Medical Center Fargo	8426967803	1094

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 Samir Golos allows following entities to bill medicare on his behalf.

Entity Name	Sanford Clinic North
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548532468 PECOS PAC ID: 4284546151 Enrollment ID: O20031209000264

Entity Name	Sanford Medical Center Fargo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110701000031

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 Samir Golos 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
Mr Samir Golos, Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () -	Mr Samir Golos, 1301 8th St S, Moorhead, MN 56560-3604 Ph: (701) 234-3100

Reviews and Comments

Nurse Practitioner Nurses in Moorhead, MN

Carley Marie Bayer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4000 28th Ave S, Moorhead, MN 56560 Phone: 701-234-3200
Laura J Wilner, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 803 Belsly Blvd # 2, Moorhead, MN 56560 Phone: 218-236-7145
Kyra Decker, MSN, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4000 28th Ave S, Moorhead, MN 56560 Phone: 701-234-3261
Amy Joy Bro, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4000 28th Ave S, Moorhead, MN 56560 Phone: 701-234-3200
Jill Mcmullen, D.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1547 30th Ave S, Moorhead, MN 56560 Phone: 218-287-4338 Fax: 218-287-5928
Rose Mary Eldridge, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1301 8th St S, Moorhead, MN 56560 Phone: 701-234-3200 Fax: 701-234-3286
Amanda Oney, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4000 28th Ave S, Moorhead, MN 56560 Phone: 701-234-3200 Fax: 701-234-3239

Mr Samir Golos, - Medicare Nurse Practitioner in Moorhead, MN