Samantha Henry, CRNP in Fulton, MD - Medicare Nurse Practitioner

Samantha Henry, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Fulton, Maryland. Her current practice location is 7321 Trappe St, Fulton, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 233-3430.

Samantha Henry is licensed to practice in Pennsylvania (license number SP015924) 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 1407259641.

Contact Information

	Samantha Henry, CRNP
	7321 Trappe St, Fulton, MD 20759-2614
	(301) 233-3430
	Not Available

Map and Direction

Provider's Profile

Full Name	Samantha Henry
Gender	Female
Speciality	Nurse Practitioner - Family
Location	7321 Trappe St, Fulton, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407259641
Provider Enumeration Date: 10/02/2014
Last Update Date: 12/23/2025

Medicare PECOS Information:

PECOS PAC ID: 9436461597
Enrollment ID: I20160309002648

Medical Identifiers

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

Identifier	Type	State	Issuer
1407259641	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R193882 (Maryland)	Secondary
363LF0000X	Nurse Practitioner - Family	SP015924 (Pennsylvania)	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 Henry allows following entities to bill medicare on her behalf.

Entity Name	Family First Health Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881639904 PECOS PAC ID: 8022910207 Enrollment ID: O20040127000506

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 Henry 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 Henry, CRNP 7321 Trappe St, Fulton, MD 20759-2614 Ph: (301) 233-3430	Samantha Henry, CRNP 7321 Trappe St, Fulton, MD 20759-2614 Ph: (301) 233-3430

Reviews and Comments

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Queenta Banack, DO Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8115 Maple Lawn Blvd Ste 109, Fulton, MD 20759 Phone: 301-404-8724
Ms. Jo-ann Walter Middleton, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11957 Lime Kiln Rd, Fulton, MD 20759 Phone: 443-271-1839

Samantha Henry, CRNP - Medicare Nurse Practitioner in Fulton, MD