Samantha Van Gorp, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Sibley, Iowa. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Orange City Municipal Hospital and her current practice location is
600 9th Ave N, Sibley, Iowa. You can reach out to her office (for appointments etc.) via phone at
(712) 754-2900.
Samantha Van Gorp is licensed to practice in Iowa (license number A138532) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205347978.
Provider's Profile
| Full Name | Samantha Van Gorp |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 600 9th Ave N, Sibley, Iowa |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Samantha Van Gorp graduated from nursing school in 2017
NPI Data:
- NPI Number: 1205347978
- Provider Enumeration Date: 10/20/2017
- Last Update Date: 10/20/2017
Medicare PECOS Information:
- PECOS PAC ID: 4082971205
- Enrollment ID: I20171127000973
Medical Identifiers
Medical identifiers for Samantha Van Gorp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205347978 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | A138532 (Iowa) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Orange City Municipal Hospital | 4688587231 | 36 |
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 Van Gorp allows following entities to bill medicare on her behalf.
| Entity Name | Orange City Municipal Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265479323
PECOS PAC ID: 4688587231
Enrollment ID: O20031223000417 |
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| Entity Name | Avera Mckennan |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336111962
PECOS PAC ID: 0345157103
Enrollment ID: O20040206000384 |
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| Entity Name | Osceola Community Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780751222
PECOS PAC ID: 5799692372
Enrollment ID: O20040310001378 |
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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 Van Gorp 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 |
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Samantha Van Gorp, ARNP
1500 Sunrise Ct,
Sheldon, IA 51201-1249
Ph: (712) 344-0110 | Samantha Van Gorp, ARNP
600 9th Ave N,
Sibley, IA 51249-1012
Ph: (712) 754-2900 |
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