| Samantha Lynn Kapuscinski, CRNP | |
|
4936 Main St, Bemus Point, NY 14712-9667 | |
| (716) 386-2414 | |
| (716) 386-2437 |
| Full Name | Samantha Lynn Kapuscinski |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 4936 Main St, Bemus Point, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821459066 | NPI | - | NPPES |
| 04383088 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 307617 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Brooks-tlc Hospital System, Inc | Dunkirk, NY | Hospital |
| Westfield Memorial Hospital, Inc | Westfield, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Westfield Family Physicians Pc | 3375527187 | 15 |
| Keystone Rehabilitation Systems Inc | 7012826753 | 744 |
| Entity Name | Buffalo Medical Group, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881659506 PECOS PAC ID: 7012820301 Enrollment ID: O20031112000213 |
| Entity Name | Westfield Family Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245263557 PECOS PAC ID: 3375527187 Enrollment ID: O20040617000663 |
| Entity Name | Family Health Medical Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619072204 PECOS PAC ID: 9133221666 Enrollment ID: O20070301000185 |
| Entity Name | Great Lakes Physician Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730599176 PECOS PAC ID: 6709007701 Enrollment ID: O20141016000108 |
| Entity Name | Statline Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942872759 PECOS PAC ID: 7214333525 Enrollment ID: O20210913002004 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Lynn Kapuscinski, CRNP 4936 Main St, Bemus Point, NY 14712-9667 Ph: (716) 386-2414 | Samantha Lynn Kapuscinski, CRNP 4936 Main St, Bemus Point, NY 14712-9667 Ph: (716) 386-2414 |