Samantha Kay Kizzire, APRN is a medicare enrolled "Nurse Practitioner - Family" in Osmond, Nebraska. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Osmond General Hospital Inc and her current practice location is
402 N Maple St, Osmond, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 748-3393.
Samantha Kay Kizzire is licensed to practice in Nebraska (license number 113206) 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 1821694639.
Provider's Profile
| Full Name | Samantha Kay Kizzire |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 402 N Maple St, Osmond, Nebraska |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Samantha Kay Kizzire graduated from nursing school in 2020
NPI Data:
- NPI Number: 1821694639
- Provider Enumeration Date: 12/07/2020
- Last Update Date: 12/07/2020
Medicare PECOS Information:
- PECOS PAC ID: 9133533011
- Enrollment ID: I20210204001912
Medical Identifiers
Medical identifiers for Samantha Kay Kizzire such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821694639 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 113206 (Nebraska) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Osmond General Hospital Inc | 4183689227 | 3 |
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 Kay Kizzire allows following entities to bill medicare on her behalf.
| Entity Name | Osmond General Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700979614
PECOS PAC ID: 4183689227
Enrollment ID: O20041130000809 |
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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 Kay Kizzire 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 Kay Kizzire, APRN
1720 N St,
Gering, NE 69341-2630
Ph: (402) 450-1377 | Samantha Kay Kizzire, APRN
402 N Maple St,
Osmond, NE 68765-5726
Ph: (402) 748-3393 |
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