Samantha M Bragg, is a
Technician - Personal Care Attendant based in Charleston, West Virginia. Samantha M Bragg is licensed to practice in * (Not Available) (license number ) and her current practice location is
1599 2nd Ave, Charleston, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 344-0586.
NPI number for Samantha M Bragg is 1154213312 and her current mailing address is Po Box 20112, Charleston, West Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154213312.
Provider's Profile
| Full Name | Samantha M Bragg |
|---|
| Gender | Female |
|---|
| Speciality | Technician - Personal Care Attendant |
|---|
| Location | 1599 2nd Ave, Charleston, West Virginia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1154213312
- Provider Enumeration Date: 07/21/2025
- Last Update Date: 07/21/2025
Medical Identifiers
Medical identifiers for Samantha M Bragg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154213312 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 78160 (West Virginia) | Secondary |
| 3747P1801X | Technician - Personal Care Attendant | (* (Not Available)) | Primary |
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 M Bragg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Samantha M Bragg,
Po Box 20112,
Charleston, WV 25362-1112
Ph: () - | Samantha M Bragg,
1599 2nd Ave,
Charleston, WV 25387-2514
Ph: (304) 344-0586 |
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