Samantha Monique Manzano, FNP - Medicare Nurse Practitioner in Loomis, CA

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Samantha Monique Manzano, FNP is a medicare enrolled "Nurse Practitioner - Family" in Loomis, California. 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 Chapa-de Indian Health Program, Inc. and her current practice location is 3702 Sudor Ln, Loomis, California. You can reach out to her office (for appointments etc.) via phone at (916) 390-9126.

Samantha Monique Manzano is licensed to practice in California (license number 95014614) 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 1063035046.

Contact Information

Samantha Monique Manzano, FNP
3702 Sudor Ln,
Loomis, CA 95650-8820
(916) 390-9126
Not Available

Map and Direction




Provider's Profile

Full NameSamantha Monique Manzano
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location3702 Sudor Ln, Loomis, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samantha Monique Manzano graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1063035046
  • Provider Enumeration Date: 05/25/2020
  • Last Update Date: 05/25/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3072937978
  • Enrollment ID: I20200724001961

Medical Identifiers

Medical identifiers for Samantha Monique Manzano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063035046NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95014614 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sutter Auburn Faith HospitalAuburn, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Chapa-de Indian Health Program, Inc.498168852045

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 Monique Manzano allows following entities to bill medicare on her behalf.
Entity NameKuldip Gill M D P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932397601
PECOS PAC ID: 7911990023
Enrollment ID: O20040405001754
Entity NameChapa-de Indian Health Program, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114057163
PECOS PAC ID: 4981688520
Enrollment ID: O20040614000473

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 Monique Manzano 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 AddressPractice Location Address
Samantha Monique Manzano, FNP
3702 Sudor Ln,
Loomis, CA 95650-8820

Ph: (916) 390-9126		Samantha Monique Manzano, FNP
3702 Sudor Ln,
Loomis, CA 95650-8820

Ph: (916) 390-9126

Reviews and Comments


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Phone: 916-652-0427    Fax: 916-652-4197

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.