Samantha Shipp, in Campbellsville, KY - Medicare Nurse Practitioner

Samantha Shipp, is a medicare enrolled "Nurse Practitioner - Family" in Campbellsville, Kentucky. Her current practice location is 1700 Old Lebanon Rd, Campbellsville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 789-5794.

Samantha Shipp is licensed to practice in Kentucky (license number 3018628) 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 1104531805.

Contact Information

	Samantha Shipp,
	1700 Old Lebanon Rd, Campbellsville, KY 42718-9615
	(270) 789-5794
	Not Available

Map and Direction

Provider's Profile

Full Name	Samantha Shipp
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1700 Old Lebanon Rd, Campbellsville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104531805
Provider Enumeration Date: 01/17/2023
Last Update Date: 01/17/2023

Medicare PECOS Information:

PECOS PAC ID: 0244602506
Enrollment ID: I20230214002587

Medical Identifiers

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

Identifier	Type	State	Issuer
1104531805	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	3018628 (Kentucky)	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 Shipp allows following entities to bill medicare on her behalf.

Entity Name	Concord Medical Group Of Kentucky Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346746385 PECOS PAC ID: 9133483894 Enrollment ID: O20180503002233

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 Shipp 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 Shipp, 507 Fern Dr, Campbellsville, KY 42718-9607 Ph: () -	Samantha Shipp, 1700 Old Lebanon Rd, Campbellsville, KY 42718-9615 Ph: (270) 789-5794

Reviews and Comments

Nurse Practitioner Nurses in Campbellsville, KY

Ashlie Marie Judd, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Greenbriar Dr, Campbellsville, KY 42718 Phone: 270-789-6166 Fax: 270-789-6198
Maci Mcqueary, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 410 Hotchkiss St, Campbellsville, KY 42718 Phone: 270-465-0191 Fax: 270-465-0463
Dorothy Marie Dudley, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 95 Kingswood Dr, Campbellsville, KY 42718 Phone: 270-789-2788 Fax: 502-368-9820
Jason Wright, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Greenbriar Dr, Campbellsville, KY 42718 Phone: 270-465-3595
Jessica Nicole Browning, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1698 Old Lebanon Rd Ste 2a, Campbellsville, KY 42718 Phone: 270-789-0359 Fax: 270-789-1756
Amanda Lauren Mattingly, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 102 Winston Way, Campbellsville, KY 42718 Phone: 270-789-0034

Samantha Shipp, - Medicare Nurse Practitioner in Campbellsville, KY