Samantha Dawn Surace, FAMILY NURSE PRACTIT - Medicare Nurse Practitioner in Fort Myers, FL

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Samantha Dawn Surace, FAMILY NURSE PRACTIT is a medicare enrolled "Nurse Practitioner - Family" in Fort Myers, Florida. Her current practice location is 2776 Cleveland Ave, Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at (239) 343-1614.

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
2776 Cleveland Ave,
Fort Myers, FL 33901-5864
(239) 343-1614
(239) 343-3695

Map and Direction




Provider's Profile

Full NameSamantha Dawn Surace
GenderFemale
SpecialityNurse Practitioner - Family
Location2776 Cleveland Ave, Fort Myers, Florida
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: 12/22/2025
  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
107234300MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner APRN11007304 (Florida)Secondary
363LF0000XNurse Practitioner - Family APRN11007304 (Florida)Primary
163W00000XRegistered Nurse 468023-1 (New York)Secondary
363LF0000XNurse Practitioner - Family F341222-1 (New York)Secondary

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
Po Box 2147,
Fort Myers, FL 33902-2147

Ph: (239) 343-1614		Samantha Dawn Surace, FAMILY NURSE PRACTIT
2776 Cleveland Ave,
Fort Myers, FL 33901-5864

Ph: (239) 343-1614

Reviews and Comments


Nurse Practitioner Nurses in Fort Myers, FL

Dr. Otniel Hernandez, DNP
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Phone: 239-603-7303    Fax: 239-603-7107
Pamela Lynn Cooper, PMHNP-BC
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Practice Location: 12734 Kenwood Ln, Suite 84, Fort Myers, FL 33907
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Violeta Fay Marie Calhoun, APRN
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April Stewart Stowers, FNP-C
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Phone: 239-343-1100    Fax: 239-343-1101
Ivon Gonzalez, APRN
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Sarah Elizabeth Long,
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Phone: 239-985-2700    
Denise M Mcpherson, ARNP
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Practice Location: 5225 Clayton Ct, Fort Myers, FL 33907
Phone: 239-343-8250    Fax: 239-343-8249

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.