Samantha Joanne Justice, NP is a medicare enrolled "Nurse Practitioner - Family" in Tishomingo, Mississippi. Her current practice location is
1310 Main Street, Tishomingo, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 471-9416.
Samantha Joanne Justice is licensed to practice in Mississippi (license number R874488) 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 1013267152.
Provider's Profile
| Full Name | Samantha Joanne Justice |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1310 Main Street, Tishomingo, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1013267152
- Provider Enumeration Date: 09/17/2012
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 5092969501
- Enrollment ID: I20130211000312
Medical Identifiers
Medical identifiers for Samantha Joanne Justice such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013267152 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | R874488 (Mississippi) | 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 Joanne Justice allows following entities to bill medicare on her behalf.
| Entity Name | North Mississippi Primary Health Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821092552
PECOS PAC ID: 3274513528
Enrollment ID: O20100414000677 |
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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 Joanne Justice 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 |
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Samantha Joanne Justice, NP
Po Box 92,
Ashland, MS 38603-0092
Ph: (662) 224-8951 | Samantha Joanne Justice, NP
1310 Main Street,
Tishomingo, MS 38873-3887
Ph: (662) 471-9416 |
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