Mr Samuel Copeland Palmer Iv, CNP in Jacksonville, FL

Mr Samuel Copeland Palmer Iv, CNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Jacksonville, Florida. His current practice location is 1220 University Blvd N, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 490-8700.

Mr Samuel Copeland Palmer Iv is licensed to practice in Florida (license number 9485401) 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 1689014862.

Contact Information

	Mr Samuel Copeland Palmer Iv, CNP
	1220 University Blvd N, Jacksonville, FL 32211-8852
	(904) 490-8700
	(904) 490-9810

Map and Direction

Provider's Profile

Full Name	Mr Samuel Copeland Palmer Iv
Gender	Male
Speciality	Nurse Practitioner - Adult Health
Location	1220 University Blvd N, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689014862
Provider Enumeration Date: 07/02/2013
Last Update Date: 12/01/2022

Medicare PECOS Information:

PECOS PAC ID: 3375785272
Enrollment ID: I20190118001682

Medical Identifiers

Medical identifiers for Mr Samuel Copeland Palmer Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689014862	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	SP017792 (Pennsylvania)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	LP-0000214 (Delaware)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	308308 (New York)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	9485401 (Florida)	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 Copeland Palmer Iv allows following entities to bill medicare on his behalf.

Entity Name	Dedicated Senior Medical Center Of Florida, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881055366 PECOS PAC ID: 4486932100 Enrollment ID: O20161101001703

Entity Name	American Advanced Practice Network Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790244341 PECOS PAC ID: 0749517860 Enrollment ID: O20210610001490

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 Copeland Palmer Iv 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 Copeland Palmer Iv, CNP 1220 University Blvd N, Jacksonville, FL 32211-8852 Ph: (904) 490-8700	Mr Samuel Copeland Palmer Iv, CNP 1220 University Blvd N, Jacksonville, FL 32211-8852 Ph: (904) 490-8700

Reviews and Comments

Nurse Practitioner Nurses in Jacksonville, FL

Mrs. Rhode L. Jean-aleger, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10075 Gate Pkwy N Apt 102, Jacksonville, FL 32246 Phone: 904-997-9844 Fax: 904-997-9844
Jennifer Salenga Arguilla, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8773 Perimeter Park Ct, Jacksonville, FL 32216 Phone: 904-493-3390 Fax: 904-493-3395
Jessica Pelkowski, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Shannon Kathleen Burns, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Christy Mcewen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 836 Prudential Dr Ste 1700b, Unit 1, Jacksonville, FL 32207 Phone: 904-398-0125 Fax: 904-389-1832
Danielle Harper Key, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4425 Merrimac Ave, Jacksonville, FL 32210 Phone: 904-346-0050 Fax: 904-346-0080
Mr. Jeffrey Ludan Vongjesda, M.S., APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3728 Philips Hwy Ste 34, Jacksonville, FL 32207 Phone: 904-399-2766 Fax: 904-549-8300

Mr Samuel Copeland Palmer Iv, CNP - Medicare Nurse Practitioner in Jacksonville, FL