Mrs Samantha Lynne Kragel, PMHNP-BC in Tempe, AZ

Mrs Samantha Lynne Kragel, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Tempe, Arizona. Her current practice location is 1270 E Broadway Rd Ste 103, Tempe, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 780-0505.

Mrs Samantha Lynne Kragel is licensed to practice in Arizona (license number 266951) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215694773.

Contact Information

	Mrs Samantha Lynne Kragel, PMHNP-BC
	1270 E Broadway Rd Ste 103, Tempe, AZ 85282-1516
	(480) 780-0505
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Samantha Lynne Kragel
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1270 E Broadway Rd Ste 103, Tempe, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215694773
Provider Enumeration Date: 11/19/2021
Last Update Date: 11/19/2021

Medicare PECOS Information:

PECOS PAC ID: 4385035518
Enrollment ID: I20211227000144

Medical Identifiers

Medical identifiers for Mrs Samantha Lynne Kragel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215694773	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	266951 (Arizona)	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. Mrs Samantha Lynne Kragel allows following entities to bill medicare on her behalf.

Entity Name	Phoenix Mental Health And Wellness Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396227609 PECOS PAC ID: 5294089033 Enrollment ID: O20181114003333

Entity Name	Optum Behavioral Care Of Colorado, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942070370 PECOS PAC ID: 0941648463 Enrollment ID: O20240717001855

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 Lynne Kragel 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 Lynne Kragel, PMHNP-BC 26221 N 45th St, Phoenix, AZ 85050-8561 Ph: (407) 808-3332	Mrs Samantha Lynne Kragel, PMHNP-BC 1270 E Broadway Rd Ste 103, Tempe, AZ 85282-1516 Ph: (480) 780-0505

Reviews and Comments

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Mrs Samantha Lynne Kragel, PMHNP-BC - Medicare Nurse Practitioner in Tempe, AZ