Samantha Carole Pernell, in Henderson, NC - Medicare Nurse Practitioner

Samantha Carole Pernell, is a medicare enrolled "Nurse Practitioner" in Henderson, North Carolina. Her current practice location is 511 Ruin Creek Rd, Henderson, North Carolina. You can reach out to her office (for appointments etc.) via phone at (252) 436-0440.

Samantha Carole Pernell is licensed to practice in North Carolina (license number 287819) 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 1104515162.

Contact Information

	Samantha Carole Pernell,
	511 Ruin Creek Rd, Henderson, NC 27536-5919
	(252) 436-0440
	Not Available

Map and Direction

Provider's Profile

Full Name	Samantha Carole Pernell
Gender	Female
Speciality	Nurse Practitioner
Location	511 Ruin Creek Rd, Henderson, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104515162
Provider Enumeration Date: 05/04/2023
Last Update Date: 10/03/2023

Medicare PECOS Information:

PECOS PAC ID: 9739535006
Enrollment ID: I20231023001412

Medical Identifiers

Medical identifiers for Samantha Carole Pernell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104515162	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	287819 (North Carolina)	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 Carole Pernell allows following entities to bill medicare on her behalf.

Entity Name	Dlp Maria Parham Physician Practices Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215273628 PECOS PAC ID: 7719153683 Enrollment ID: O20111222000550

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 Carole Pernell 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 Carole Pernell, 1846 Kittrell Rd, Kittrell, NC 27544-9013 Ph: (125) 243-2797	Samantha Carole Pernell, 511 Ruin Creek Rd, Henderson, NC 27536-5919 Ph: (252) 436-0440

Reviews and Comments

Nurse Practitioner Nurses in Henderson, NC

Levina Kumar, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 943 W Andrews Ave, Henderson, NC 27536 Phone: 252-433-0061
Crystal Young Kaplan, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 566 Ruin Creek Rd, Henderson, NC 27536 Phone: 252-436-1148
Mr. Henry Cutler Torrey, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 451 Ruin Creek Rd, Suite 101, Henderson, NC 27536 Phone: 252-492-9565 Fax: 252-492-5373
Elizabeth Ann Houston, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 511 Ruin Creek Rd, Ste 101, Henderson, NC 27536 Phone: 252-492-8576
Mrs. Kay Belk Suh, FNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 W Parkview Dr, Henderson, NC 27536 Phone: 252-438-3549 Fax: 252-438-2084
Cheryl Harris Hester, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 511 Ruin Creek Rd Ste 101, Henderson, NC 27536 Phone: 252-436-0440 Fax: 252-436-0281

Samantha Carole Pernell, - Medicare Nurse Practitioner in Henderson, NC