Samantha Secor, RN, MSN, FNP in Daly City, CA

Samantha Secor, RN, MSN, FNP is a medicare enrolled "Nurse Practitioner - Family" in Daly City, California. Her current practice location is 1850 Sullivan Ave Ste 330, Daly City, California. You can reach out to her office (for appointments etc.) via phone at (650) 756-5630.

Samantha Secor is licensed to practice in California (license number F08170478) 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 1205332574.

Contact Information

	Samantha Secor, RN, MSN, FNP
	1850 Sullivan Ave Ste 330, Daly City, CA 94015-2204
	(650) 756-5630
	Not Available

Map and Direction

Provider's Profile

Full Name	Samantha Secor
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1850 Sullivan Ave Ste 330, Daly City, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205332574
Provider Enumeration Date: 04/04/2018
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 4082978937
Enrollment ID: I20250604001140

Medical Identifiers

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

Identifier	Type	State	Issuer
1205332574	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F08170478 (California)	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 Secor allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Secor 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 Secor, RN, MSN, FNP 1850 Sullivan Ave Ste 330, Daly City, CA 94015-2204 Ph: () -	Samantha Secor, RN, MSN, FNP 1850 Sullivan Ave Ste 330, Daly City, CA 94015-2204 Ph: (650) 756-5630

Reviews and Comments

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Samantha Secor, RN, MSN, FNP - Medicare Nurse Practitioner in Daly City, CA