Samantha Rae Locke, in Silverdale, WA - Medicare Nurse Practitioner

Samantha Rae Locke, is a medicare enrolled "Nurse Practitioner" in Silverdale, Washington. Her current practice location is 1800 Nw Myhre Rd, Silverdale, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 744-8928.

Samantha Rae Locke is licensed to practice in Washington (license number AP61417194) 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 1568134542.

Contact Information

	Samantha Rae Locke,
	1800 Nw Myhre Rd, Silverdale, WA 98383-7663
	(360) 744-8928
	Not Available

Map and Direction

Provider's Profile

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.

NPI Data:

NPI Number: 1568134542
Provider Enumeration Date: 09/29/2021
Last Update Date: 03/22/2023

Medicare PECOS Information:

PECOS PAC ID: 2163889411
Enrollment ID: I20230601002156

Medical Identifiers

Medical identifiers for Samantha Rae Locke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568134542	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	AP61417194 (Washington)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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 Rae Locke allows following entities to bill medicare on her behalf.

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

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 Rae Locke 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 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

Reviews and Comments

Nurse Practitioner Nurses in Silverdale, WA

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
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: Medicare Enrolled 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
Lauren Berglind, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3261 Nw Mount Vintage Way Ste 221, Silverdale, WA 98383 Phone: 360-792-9118 Fax: 360-918-9726

Samantha Rae Locke, - Medicare Nurse Practitioner in Silverdale, WA