Mrs Samantha Blain Sisco, NP is a medicare enrolled "Nurse Practitioner - Family" in Jeffersonvlle, Indiana. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fairfield Memorial Hospital Association and her current practice location is
1701 Spring St Ste B, Jeffersonvlle, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 284-2273.
Mrs Samantha Blain Sisco is licensed to practice in Indiana (license number 71012972A) 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 1295228427.
Provider's Profile
| Full Name | Mrs Samantha Blain Sisco |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 7 Years |
|---|
| Location | 1701 Spring St Ste B, Jeffersonvlle, Indiana |
|---|
| 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:
- Mrs Samantha Blain Sisco graduated from nursing school in 2019
NPI Data:
- NPI Number: 1295228427
- Provider Enumeration Date: 06/12/2018
- Last Update Date: 11/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 4082080643
- Enrollment ID: I20260204002594
Medical Identifiers
Medical identifiers for Mrs Samantha Blain Sisco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295228427 | NPI | - | NPPES |
| 71012972A | Other | IN | LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 28202222A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71012972A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Fairfield Memorial Hospital Association | 5698671741 | 34 |
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. Mrs Samantha Blain Sisco 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 |
|---|
Mrs Samantha Blain Sisco, NP
1417 County Road 750 E,
Carmi, IL 62821-4830
Ph: (618) 384-9533 | Mrs Samantha Blain Sisco, NP
1701 Spring St Ste B,
Jeffersonvlle, IN 47130-2930
Ph: (812) 284-2273 |
Reviews and Comments