Samantha B Brunner, PA-C is a medicare enrolled "Physician Assistant" in Grand Coulee, Washington. She graduated from nursing school in 2011 and has 14 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice The Vancouver Clinic Inc Ps and 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 | Physician Assistant |
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| Experience | 14 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. |
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Medical Education and Training:
- Samantha B Brunner graduated from nursing school in 2011
NPI Data:
- NPI Number: 1639451750
- Provider Enumeration Date: 09/14/2011
- Last Update Date: 10/01/2020
Medicare PECOS Information:
- PECOS PAC ID: 3577737832
- Enrollment ID: I20111122000870
Medical Identifiers
Medical identifiers for Samantha B Brunner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639451750 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AS0400X | Physician Assistant - Surgical | PA60233756 (Washington) | Secondary |
| 363A00000X | Physician Assistant | PA60233756 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| The Vancouver Clinic Inc Ps | 3173436490 | 512 |
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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