Samantha Dawn Surace, FAMILY NURSE PRACTIT - Medicare Nurse Practitioner in West Nyack, NY

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Samantha Dawn Surace, FAMILY NURSE PRACTIT is a medicare enrolled "Nurse Practitioner" in West Nyack, New York. Her current practice location is 21 Louise Dr, West Nyack, New York. You can reach out to her office (for appointments etc.) via phone at (845) 269-5740.

Samantha Dawn Surace is licensed to practice in Florida (license number APRN11007304) 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 1518234111.

Contact Information

Samantha Dawn Surace, FAMILY NURSE PRACTIT
21 Louise Dr,
West Nyack, NY 10994-1911
(845) 269-5740
Not Available

Map and Direction




Provider's Profile

Full NameSamantha Dawn Surace
GenderFemale
SpecialityNurse Practitioner
Location21 Louise Dr, West Nyack, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518234111
  • Provider Enumeration Date: 11/27/2011
  • Last Update Date: 12/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7214213149
  • Enrollment ID: I20170407001180

Medical Identifiers

Medical identifiers for Samantha Dawn Surace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518234111NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 468023-1 (New York)Secondary
363LF0000XNurse Practitioner - Family APRN11007304 (Florida)Secondary
363LF0000XNurse Practitioner - Family F341222-1 (New York)Secondary
363L00000XNurse Practitioner APRN11007304 (Florida)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. Samantha Dawn Surace allows following entities to bill medicare on her behalf.
Entity NameWhite Plains Hospital Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003089491
PECOS PAC ID: 4981593092
Enrollment ID: O20040420001230
Entity NameMiddletown Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902855828
PECOS PAC ID: 2567464308
Enrollment ID: O20070208000144
Entity NameGloversville Emergency Medicine Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518205491
PECOS PAC ID: 7517107881
Enrollment ID: O20130710000069
Entity NameDivinity Medical Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497159560
PECOS PAC ID: 5193030245
Enrollment ID: O20150818005362

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 Dawn Surace 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 AddressPractice Location Address
Samantha Dawn Surace, FAMILY NURSE PRACTIT
5380 Tech Data Dr Ste 101,
Clearwater, FL 33760-3122

Ph: (845) 269-5740		Samantha Dawn Surace, FAMILY NURSE PRACTIT
21 Louise Dr,
West Nyack, NY 10994-1911

Ph: (845) 269-5740

Reviews and Comments


Nurse Practitioner Nurses in West Nyack, NY

Steven Carroll, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3 Demarest Mill Rd, West Nyack, NY 10994
Phone: 917-847-3077    
Lorraine Olivero-brodeur, D.N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2 Medical Park Dr, Suite 3, West Nyack, NY 10994
Phone: 845-727-7733    Fax: 845-727-7743
Michele Muldoon, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2 Crosfield Ave, Suite 318, West Nyack, NY 10994
Phone: 845-353-5600    Fax: 845-353-3474
Mrs. Margaret Mary Cardamona, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2 Medical Park Dr, Suite 5, West Nyack, NY 10994
Phone: 845-703-6999    Fax: 845-703-6297
Laura Ann Garcia, ACNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2 Crosfield Ave Ste 202, West Nyack, NY 10994
Phone: 845-353-4344    Fax: 845-348-1873
Mrs. Jennifer Cimino Poterbin, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 59 N Greenbush Rd, West Nyack, NY 10994
Phone: 845-300-2066    
Mrs. Rachel Josephine Miller, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2 Crosfield Avenue, Suite 318, West Nyack, NY 10994
Phone: 845-353-5600    Fax: 845-353-3474

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.