Samantha Marie Barraclough, PA is a medicare enrolled "Physician Assistant" in Phenix City, Alabama. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Fairbanks Urology and her current practice location is
1810 Stadium Dr Ste 240, Phenix City, Alabama. You can reach out to her office (for appointments etc.) via phone at
(334) 297-4883.
Samantha Marie Barraclough is licensed to practice in Georgia (license number 13521) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1780232819.
Provider's Profile
| Full Name | Samantha Marie Barraclough |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 7 Years |
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| Location | 1810 Stadium Dr Ste 240, Phenix City, Alabama |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Samantha Marie Barraclough graduated from nursing school in 2019
NPI Data:
- NPI Number: 1780232819
- Provider Enumeration Date: 09/02/2019
- Last Update Date: 02/03/2026
Medicare PECOS Information:
- PECOS PAC ID: 1759713928
- Enrollment ID: I20221121001512
Medical Identifiers
Medical identifiers for Samantha Marie Barraclough such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780232819 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 13521 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Fairbanks Urology | 6608100425 | 6 |
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 Marie Barraclough 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 Marie Barraclough, PA
104 Woodmont Blvd Ste 500,
Nashville, TN 37205-2245
Ph: (888) 802-9885 | Samantha Marie Barraclough, PA
1810 Stadium Dr Ste 240,
Phenix City, AL 36867-3179
Ph: (334) 297-4883 |
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