Samara Acosta, is a medicare enrolled "Nurse Practitioner - Family" in Pearson, Georgia. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kima-w Medical Center and her current practice location is
640 Main St N, Pearson, Georgia. You can reach out to her office (for appointments etc.) via phone at
(912) 544-4569.
Samara Acosta is licensed to practice in Georgia (license number RN259547) 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 1205553112.
Provider's Profile
| Full Name | Samara Acosta |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 640 Main St N, Pearson, Georgia |
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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:
- Samara Acosta graduated from nursing school in 2022
NPI Data:
- NPI Number: 1205553112
- Provider Enumeration Date: 10/21/2022
- Last Update Date: 06/04/2026
Medicare PECOS Information:
- PECOS PAC ID: 6305217092
- Enrollment ID: I20260522000945
Medical Identifiers
Medical identifiers for Samara Acosta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205553112 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | RN259547 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Kima-w Medical Center | 5496740698 | 21 |
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. Samara Acosta allows following entities to bill medicare on her behalf.
| Entity Name | Kima-w Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306904222
PECOS PAC ID: 5496740698
Enrollment ID: O20040416001480 |
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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. Samara Acosta 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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Samara Acosta,
1146 Oquinn Dr,
Tifton, GA 31794-3729
Ph: Not Available | Samara Acosta,
640 Main St N,
Pearson, GA 31642-7549
Ph: (912) 544-4569 |
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