Samantha Thomas, FNP-BC in Gillespie, IL - Medicare Nurse Practitioner

Samantha Thomas, FNP-BC is a medicare enrolled "Nurse Practitioner" in Gillespie, Illinois. Her current practice location is 109 E Maple St, Gillespie, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 839-1526.

Samantha Thomas is licensed to practice in Illinois (license number 209417465) 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 1447789169.

Contact Information

	Samantha Thomas, FNP-BC
	109 E Maple St, Gillespie, IL 62033-1473
	(217) 839-1526
	Not Available

Map and Direction

Provider's Profile

Full Name	Samantha Thomas
Gender	Female
Speciality	Nurse Practitioner
Location	109 E Maple St, Gillespie, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447789169
Provider Enumeration Date: 06/06/2017
Last Update Date: 03/30/2022

Medicare PECOS Information:

PECOS PAC ID: 9638442049
Enrollment ID: I20171106001293

Medical Identifiers

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

Identifier	Type	State	Issuer
1447789169	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209417465 (Illinois)	Primary
163W00000X	Registered Nurse	041417465 (Illinois)	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 Thomas allows following entities to bill medicare on her behalf.

Entity Name	Macoupin County Public Health Department
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538444906 PECOS PAC ID: 1557377850 Enrollment ID: O20060223000446

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 Thomas 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 Thomas, FNP-BC 109 E Maple St, Gillespie, IL 62033-1473 Ph: (217) 839-1526	Samantha Thomas, FNP-BC 109 E Maple St, Gillespie, IL 62033-1473 Ph: (217) 839-1526

Reviews and Comments

Nurse Practitioner Nurses in Gillespie, IL

Zuzana Jackevicius Killam, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 109 E Maple St, Gillespie, IL 62033 Phone: 217-839-1526 Fax: 217-839-1538
Sandra L Cania, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 E Maple St, Gillespie, IL 62033 Phone: 217-839-1526 Fax: 217-839-1538
Sheri Lynne Banovic, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 South Macoupin Street, Gillespie, IL 62033 Phone: 217-839-1526
Melinda S Edwards, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 109 E Maple St, Gillespie, IL 62033 Phone: 217-839-1526
Andrea Diane Mccabe, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 124 N Macoupin St, Gillespie, IL 62033 Phone: 217-839-3040
Carol Candler, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 East Maple Street, Maucoupin County Maple Street Clinic, Gillespie, IL 62033 Phone: 217-839-4100

Samantha Thomas, FNP-BC - Medicare Nurse Practitioner in Gillespie, IL