Samantha Elaine Shoultz, NP in Newburgh, IN - Medicare Nurse Practitioner

Samantha Elaine Shoultz, NP is a medicare enrolled "Nurse Practitioner" in Newburgh, Indiana. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Evansville Colorectal Surgery Llc and her current practice location is 3922 Venetian Way, St 2, Newburgh, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 999-3277.

Samantha Elaine Shoultz is licensed to practice in Indiana (license number 71010484A) 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 1225400070.

Contact Information

	Samantha Elaine Shoultz, NP
	3922 Venetian Way, St 2, Newburgh, IN 47630
	(812) 999-3277
	(812) 518-1722

Map and Direction

Provider's Profile

Full Name	Samantha Elaine Shoultz
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	3922 Venetian Way, Newburgh, Indiana
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 Elaine Shoultz graduated from nursing school in 2020

NPI Data:

NPI Number: 1225400070
Provider Enumeration Date: 10/20/2015
Last Update Date: 06/14/2023

Medicare PECOS Information:

PECOS PAC ID: 9830509785
Enrollment ID: I20201103002978

Medical Identifiers

Medical identifiers for Samantha Elaine Shoultz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225400070	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	28224617A (Indiana)	Secondary
363L00000X	Nurse Practitioner	71010484A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Deaconess Hospital Inc	Evansville, IN	Hospital
Ascension St Vincent Evansville	Evansville, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Evansville Colorectal Surgery Llc	6204296023	2

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 Elaine Shoultz allows following entities to bill medicare on her behalf.

Entity Name	Tri-state Colorectal Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083130751 PECOS PAC ID: 9638443765 Enrollment ID: O20170927003860

Entity Name	Pain Management Centers Of America Psc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992271811 PECOS PAC ID: 2769727114 Enrollment ID: O20181213000858

Entity Name	Evansville Colorectal Surgery Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578253977 PECOS PAC ID: 6204296023 Enrollment ID: O20230712001588

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 Elaine Shoultz 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 Elaine Shoultz, NP 3922 Venetian Way, St 2, Newburgh, IN 47630 Ph: (812) 999-3277	Samantha Elaine Shoultz, NP 3922 Venetian Way, St 2, Newburgh, IN 47630 Ph: (812) 999-3277

Reviews and Comments

Nurse Practitioner Nurses in Newburgh, IN

Allison Jo Martin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4055 Gateway Blvd, Newburgh, IN 47630 Phone: 812-858-3051 Fax: 812-858-3060
Emily Christine York, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4055 Gateway Blvd, Newburgh, IN 47630 Phone: 812-858-3051 Fax: 812-858-3060
Margie Huff, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4209 Gateway Blvd, Newburgh, IN 47630 Phone: 812-842-2800 Fax: 812-842-2901
Kelli Shea Dempsey, ACNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4055 Gateway Blvd, Newburgh, IN 47630 Phone: 812-842-2210 Fax: 812-842-4599
Amy Carol Wall, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4199 Gateway Blvd Ste 2300, Newburgh, IN 47630 Phone: 812-858-4610 Fax: 812-858-4635
Jessica Solomon Thomas, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4199 Gateway Blvd Ste 3100, Newburgh, IN 47630 Phone: 812-842-4550 Fax: 812-842-4549
Sydney Moats Schweikhard, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4209 Gateway Blvd, Newburgh, IN 47630 Phone: 812-842-2800 Fax: 812-842-2901

Samantha Elaine Shoultz, NP - Medicare Nurse Practitioner in Newburgh, IN