Samantha B Brunner, PA-C is a medicare enrolled "Physician Assistant" in Grand Coulee, Washington. Her current practice location is
411 Fortuyn Rd, Grand Coulee, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 633-1911.
Samantha B Brunner is licensed to practice in Washington (license number PA60233756) 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 1639451750.
Provider's Profile
Full Name | Samantha B Brunner |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 411 Fortuyn Rd, Grand Coulee, Washington |
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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:
- Samantha B Brunner attended and graduated from in
NPI Data:
- NPI Number: 1639451750
- Provider Enumeration Date: 09/14/2011
- Last Update Date: 10/01/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Samantha B Brunner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639451750 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AS0400X | Physician Assistant - Surgical | PA60233756 (Washington) | Secondary |
363A00000X | Physician Assistant | PA60233756 (Washington) | Primary |
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. Samantha B Brunner 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 |
Samantha B Brunner, PA-C 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 Ph: (509) 633-1911 | Samantha B Brunner, PA-C 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 Ph: (509) 633-1911 |
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