Samantha Dawn Surace, FAMILY NURSE PRACTIT in Fort Myers, FL

Samantha Dawn Surace, FAMILY NURSE PRACTIT is a medicare enrolled "Nurse Practitioner - Family" in Fort Myers, Florida. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ies Florida Pllc, Lee Health System Inc and 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 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 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 Name	Samantha Dawn Surace
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	2776 Cleveland Ave, Fort Myers, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Samantha Dawn Surace graduated from nursing school in 2016

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: I20200714000549

Medical Identifiers

Medical identifiers for Samantha Dawn Surace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518234111	NPI	-	NPPES
107234300	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	APRN11007304 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN11007304 (Florida)	Primary
163W00000X	Registered Nurse	468023-1 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	F341222-1 (New York)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ies Florida Pllc	8921485004	43
Lee Health System Inc	9335672146	1370

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 Name	Southwest Florida Emergency Physicians Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588659502 PECOS PAC ID: 3870581432 Enrollment ID: O20040503001195

Entity Name	Small Hospital Innovations Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184040560 PECOS PAC ID: 0840415444 Enrollment ID: O20140715000513

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 Address	Practice 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 Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 43 Barkley Cir Ste 201, Fort Myers, FL 33907 Phone: 239-603-7303 Fax: 239-603-7107
Pamela Lynn Cooper, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12734 Kenwood Ln, Suite 84, Fort Myers, FL 33907 Phone: 866-936-5250
Violeta Fay Marie Calhoun, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9369 Golden Rain Ln, Fort Myers, FL 33967 Phone: 239-410-6584 Fax: 727-954-6546
Ivon Gonzalez, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13691 Metro Pkwy Ste 420, Fort Myers, FL 33912 Phone: 239-215-4064 Fax: 239-215-4063
Sarah Elizabeth Long, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9241 Park Royal Dr, Fort Myers, FL 33908 Phone: 239-985-2700
Denise M Mcpherson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5225 Clayton Ct, Fort Myers, FL 33907 Phone: 239-343-8250 Fax: 239-343-8249
Katherine E Wirth, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3920 Michigan Ave, Fort Myers, FL 33916 Phone: 239-332-9501

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