Mr Samuel Altidor, ARNP in High Point, NC - Medicare Nurse Practitioner

Mr Samuel Altidor, ARNP is a medicare enrolled "Nurse Practitioner - Family" in High Point, North Carolina. His current practice location is 2850 S Main St Ste 104, High Point, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 283-8757.

Mr Samuel Altidor is licensed to practice in North Carolina (license number 5016250) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912577008.

Contact Information

	Mr Samuel Altidor, ARNP
	2850 S Main St Ste 104, High Point, NC 27263-1900
	(336) 283-8757
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Samuel Altidor
Gender	Male
Speciality	Nurse Practitioner - Family
Location	2850 S Main St Ste 104, High Point, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912577008
Provider Enumeration Date: 06/30/2021
Last Update Date: 05/24/2022

Medicare PECOS Information:

PECOS PAC ID: 3971979410
Enrollment ID: I20221025000543

Medical Identifiers

Medical identifiers for Mr Samuel Altidor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912577008	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11015076 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	5016250 (North Carolina)	Primary

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 Samuel Altidor allows following entities to bill medicare on his behalf.

Entity Name	Osh-mi Physicians Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033766092 PECOS PAC ID: 7810282191 Enrollment ID: O20191118000511

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 Samuel Altidor 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 Samuel Altidor, ARNP 5380 Nw 55th Blvd Apt 101, Coconut Creek, FL 33073-3702 Ph: (954) 701-3789	Mr Samuel Altidor, ARNP 2850 S Main St Ste 104, High Point, NC 27263-1900 Ph: (336) 283-8757

Reviews and Comments

Nurse Practitioner Nurses in High Point, NC

Mrs. Olufunso Mercy Ogunjobi, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 Boulevard St, High Point, NC 27262 Phone: 336-781-2189 Fax: 336-787-6272
Anthony Todd Younger, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 507 N Lindsay St, High Point, NC 27262 Phone: 336-883-0029 Fax: 369-670-8603
Ms. Cynthia Ferguson, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1208 Eastchester Dr, Suite 107, High Point, NC 27265 Phone: 336-802-2588 Fax: 336-802-2340
Mrs. Natalie Reid Smith, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2401 Hickswood Rd Ste 104, High Point, NC 27265 Phone: 336-884-6000 Fax: 336-884-7222
Sandra Baffour Kyei, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 N Elm St, High Point, NC 27262 Phone: 336-972-0792
Leah Michelle Hanger, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1208 Eastchester Dr, High Point, NC 27265 Phone: 336-621-2500
Pauline Ilogebe Ireh, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1814 Westchester Dr, Ste 301, High Point, NC 27262 Phone: 336-802-2025 Fax: 336-802-2026

Mr Samuel Altidor, ARNP - Medicare Nurse Practitioner in High Point, NC