Samantha Dare Gulledge, PA in Wilmington, NC - Medicare Physician Assistant

Samantha Dare Gulledge, PA is a medicare enrolled "Physician Assistant" in Wilmington, North Carolina. Her current practice location is 1099 Medical Center Dr, Suites 100 And 201, Wilmington, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 251-9994.

Samantha Dare Gulledge is licensed to practice in North Carolina (license number 0010-12847) 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 1740991504.

Contact Information

	Samantha Dare Gulledge, PA
	1099 Medical Center Dr, Suites 100 And 201, Wilmington, NC 28401
	(910) 251-9994
	(910) 763-4666

Map and Direction

Provider's Profile

Full Name	Samantha Dare Gulledge
Gender	Female
Speciality	Physician Assistant
Location	1099 Medical Center Dr, Wilmington, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740991504
Provider Enumeration Date: 12/12/2022
Last Update Date: 09/12/2025

Medicare PECOS Information:

PECOS PAC ID: 3375916877
Enrollment ID: I20230303000951

Medical Identifiers

Medical identifiers for Samantha Dare Gulledge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740991504	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	0010-12847 (North Carolina)	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 Dare Gulledge 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 Dare Gulledge, PA Po Box 23329, New York, NY 10087-3329 Ph: () -	Samantha Dare Gulledge, PA 1099 Medical Center Dr, Suites 100 And 201, Wilmington, NC 28401 Ph: (910) 251-9994

Reviews and Comments

Physician Assistant Nurses in Wilmington, NC

Robin Elizabeth Jendrazak, OPA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2716 Ashton Dr, Wilmington, NC 28412 Phone: 910-332-3800 Fax: 910-332-3833
Crystal Dawn Hill, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2421 Silver Stream Ln, Wilmington, NC 28401 Phone: 910-341-3300 Fax: 910-251-8824
Rya Elisabeth Lawrence, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4402 Shipyard Blvd, Wilmington, NC 28403 Phone: 910-791-0075 Fax: 910-791-9674
Talia Francesca Marie Mcdonough, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1988 S 16th St, Wilmington, NC 28401 Phone: 910-662-8440 Fax: 910-795-4826
Hannah Salefsky, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6727 Parker Farm Dr, Wilmington, NC 28405 Phone: 910-772-0370 Fax: 910-256-5985
Mr. Grayson Brent Mayberry, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1415 Physicians Dr, Wilmington, NC 28401 Phone: 910-662-9500 Fax: 910-662-9501
Callie Brinker, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5115 Oleander Dr, Wilmington, NC 28403 Phone: 101-191-0362

Samantha Dare Gulledge, PA - Medicare Physician Assistant in Wilmington, NC