| Samantha Rae Locke, | |
|
1800 Nw Myhre Rd, Silverdale, WA 98383-7663 | |
| (360) 744-8928 | |
| Not Available |
| Full Name | Samantha Rae Locke |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1800 Nw Myhre Rd, Silverdale, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568134542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | AP61417194 (Washington) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Kitsap Obgyn Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366835399 PECOS PAC ID: 4082925748 Enrollment ID: O20150622001662 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Rae Locke, 1166 Chimacum Rd, Port Hadlock, WA 98339-9715 Ph: (360) 301-2044 | Samantha Rae Locke, 1800 Nw Myhre Rd, Silverdale, WA 98383-7663 Ph: (360) 744-8928 |
Samuel Godin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1950 Nw Myhre Rd Fl 3, Silverdale, WA 98383 Phone: 564-240-4200 Fax: 564-240-4299 | |
Morgan Jeanne Kamman, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1900 Nw Myhre Rd, Silverdale, WA 98383 Phone: 564-240-3100 Fax: 564-240-3199 | |
Elizabeth Claire Zaroff, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3100 Nw Bucklin Hill Rd Ste 202, Silverdale, WA 98383 Phone: 360-377-3776 | |
Donna J Delegeane, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10452 Silverdale Way Nw, Silverdale, WA 98383 Phone: 360-307-7300 | |
Mindy Kay Prouty, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1950 Nw Myhre Rd Fl 3, Silverdale, WA 98383 Phone: 564-240-4200 Fax: 564-240-4299 | |
Marie F Bailey, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3212 Nw Byron St Ste 101, Silverdale, WA 98383 Phone: 360-698-7290 Fax: 360-698-7535 | |
Anna Gonzalez, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3100 Nw Bucklin Hill Rd Ste 202, Silverdale, WA 98383 Phone: 360-377-3776 |