Samantha Corral Crouch, CNM is a medicare enrolled "Advanced Practice Midwife" in Fayetteville, Arkansas. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice University Of Arkansas For Medical Sciences and her current practice location is
1125 N College Ave, Fayetteville, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 521-8260.
Samantha Corral Crouch is licensed to practice in Arkansas (license number M002133) 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 1780108456.
Provider's Profile
| Full Name | Samantha Corral Crouch |
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| Gender | Female |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 8 Years |
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| Location | 1125 N College Ave, Fayetteville, Arkansas |
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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 Corral Crouch graduated from nursing school in 2018
NPI Data:
- NPI Number: 1780108456
- Provider Enumeration Date: 08/03/2017
- Last Update Date: 06/16/2026
Medicare PECOS Information:
- PECOS PAC ID: 4082987474
- Enrollment ID: I20170906003937
Medical Identifiers
Medical identifiers for Samantha Corral Crouch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780108456 | NPI | - | NPPES |
| M002133 | Other | AR | ARKANSAS STATE BOARD OF NURSING |
| R104356 | Other | AR | ARKANSAS STATE BOARD OF NURSING |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | M002133 (Arkansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| University Of Arkansas For Medical Sciences | 4082528955 | 1176 |
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. Samantha Corral Crouch allows following entities to bill medicare on her behalf.
| Entity Name | University Of Arkansas For Medical Sciences |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588654016
PECOS PAC ID: 4082528955
Enrollment ID: O20031219000706 |
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| Entity Name | Northwest Arkansas Ob/gyn Assoc.,plc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053344234
PECOS PAC ID: 2668478926
Enrollment ID: O20061024000589 |
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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 Corral Crouch 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 |
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Samantha Corral Crouch, CNM
4301 W Markham St # 783,
Little Rock, AR 72205-7101
Ph: (501) 686-8000 | Samantha Corral Crouch, CNM
1125 N College Ave,
Fayetteville, AR 72703-1908
Ph: (479) 521-8260 |
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