| Mrs Samantha E Amos, NP-C | |
|
210 Quail Run Rd, Sugar Grove, VA 24375-3286 | |
| (276) 686-5334 | |
| Not Available |
| Full Name | Mrs Samantha E Amos |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 210 Quail Run Rd, Sugar Grove, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154824498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 0024175952 (Virginia) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 5010487 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wythe County Community Hospital | Wytheville, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eventus Premier Healthcare Llc | 6305381013 | 93 |
| Pai Participant 1 Llc | 8123351954 | 139 |
| Entity Name | Premier Geriatric Solutions Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568093672 PECOS PAC ID: 3072940279 Enrollment ID: O20200228001800 |
| Entity Name | Pai Participant 1 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093371312 PECOS PAC ID: 8123351954 Enrollment ID: O20211208001934 |
| Entity Name | Hospitalist Medicine Physicians Of Washington Tacoma Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740911585 PECOS PAC ID: 5395126270 Enrollment ID: O20240223002812 |
| Entity Name | Eventus Premier Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437998309 PECOS PAC ID: 6305381013 Enrollment ID: O20240717001731 |
| Entity Name | Eventus Wh Mid-atlantic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700627130 PECOS PAC ID: 7618414111 Enrollment ID: O20240801002915 |
| Entity Name | Eventus Wh Mid-atlantic Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063253490 PECOS PAC ID: 8921534744 Enrollment ID: O20241203004710 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Samantha E Amos, NP-C Po Box 249, Yadkinville, NC 27055-0249 Ph: (336) 679-4963 | Mrs Samantha E Amos, NP-C 210 Quail Run Rd, Sugar Grove, VA 24375-3286 Ph: (276) 686-5334 |