Samantha Kay Noeth, MMSN in Belleville, IL - Medicare Nurse Practitioner

Samantha Kay Noeth, MMSN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Belleville, Illinois. Her current practice location is 12 N 64th St, Belleville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 877-4420.

Samantha Kay Noeth is licensed to practice in Illinois (license number 209.018361) 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 1245706548.

Contact Information

	Samantha Kay Noeth, MMSN
	12 N 64th St, Belleville, IL 62223-3809
	(618) 877-4420
	Not Available

Map and Direction

Provider's Profile

Full Name	Samantha Kay Noeth
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	12 N 64th St, Belleville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245706548
Provider Enumeration Date: 10/15/2018
Last Update Date: 02/20/2025

Medicare PECOS Information:

PECOS PAC ID: 0446504872
Enrollment ID: I20181121000244

Medical Identifiers

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

Identifier	Type	State	Issuer
1245706548	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209018361 (Illinois)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	209.018361 (Illinois)	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 Kay Noeth allows following entities to bill medicare on her behalf.

Entity Name	Macoupin Family Practice Centers Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699899070 PECOS PAC ID: 2365350253 Enrollment ID: O20050928000530

Entity Name	Behavioral Health Alternatives, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619062676 PECOS PAC ID: 2567462765 Enrollment ID: O20070112000150

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 Noeth 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 Kay Noeth, MMSN 715 Broadway St, Gillespie, IL 62033-1166 Ph: (217) 839-4491	Samantha Kay Noeth, MMSN 12 N 64th St, Belleville, IL 62223-3809 Ph: (618) 877-4420

Reviews and Comments

Nurse Practitioner Nurses in Belleville, IL

Kelsey Beasley, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3060 Harvest Meadow Dr, Belleville, IL 62221 Phone: 618-792-8887
Ms. Lauren Nicole Marshall, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-5455 Fax: 618-257-4490
Mr. Lito T Rufin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220
Cindy L. Auld, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Dr, Ste. 400, Belleville, IL 62226 Phone: 618-234-2390 Fax: 618-234-9936
Pamela A O'neal, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 Lincoln Place Ct, Belleville, IL 62221 Phone: 618-257-2029 Fax: 618-235-5371
Mrs. Deanna L. Rodenberg, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4550 Memorial Dr, Ste. 340, Belleville, IL 62226 Phone: 618-257-6200 Fax: 618-257-6679
Katherine Ann Combs, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4700 Memorial Dr Ste 250, Belleville, IL 62226 Phone: 618-212-6560

Samantha Kay Noeth, MMSN - Medicare Nurse Practitioner in Belleville, IL