Dr Samuel A Urkov, DNP, FNP-C - Medicare Nurse Practitioner in Fife, WA

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Dr Samuel A Urkov, DNP, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Fife, Washington. His current practice location is 4505 Pacific Hwy E Ste C2, Fife, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 220-4635.

Dr Samuel A Urkov is licensed to practice in Washington (license number AP61582086) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1669217915.

Contact Information

Dr Samuel A Urkov, DNP, FNP-C
4505 Pacific Hwy E Ste C2,
Fife, WA 98424-2638
(253) 220-4635
Not Available

Map and Direction




Provider's Profile

Full NameDr Samuel A Urkov
GenderMale
SpecialityNurse Practitioner - Family
Location4505 Pacific Hwy E Ste C2, Fife, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669217915
  • Provider Enumeration Date: 06/27/2024
  • Last Update Date: 08/12/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1254862576
  • Enrollment ID: I20240926004410

Medical Identifiers

Medical identifiers for Dr Samuel A Urkov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669217915NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP61582086 (Washington)Primary
363LF0000XNurse Practitioner - Family 10035560 (Oregon)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. Dr Samuel A Urkov allows following entities to bill medicare on his behalf.
Entity NameSouth Puget Sound Neurology, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194052357
PECOS PAC ID: 4486789427
Enrollment ID: O20100316001018

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. Dr Samuel A Urkov 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 AddressPractice Location Address
Dr Samuel A Urkov, DNP, FNP-C
4505 Pacific Hwy E Ste C2,
Fife, WA 98424-2638

Ph: () -		Dr Samuel A Urkov, DNP, FNP-C
4505 Pacific Hwy E Ste C2,
Fife, WA 98424-2638

Ph: (253) 220-4635

Reviews and Comments


Nurse Practitioner Nurses in Fife, WA

Miss Loan Vu Minh Pham, DNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4505 Pacific Hwy E Ste C2, Fife, WA 98424
Phone: 714-880-5065    
Laura Conley-prince, N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2150 Freeman Rd E, Fife, WA 98424
Phone: 253-225-7666    Fax: 253-785-7868
Ida Louise Campbell, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 502 54th Ave E, Fife, WA 98424
Phone: 253-459-7500    Fax: 253-459-7527
Dr. Adrianne Papoff-wallace, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3203 Wilton Ln E, Fife, WA 98424
Phone: 253-533-5768    Fax: 866-638-7530
Jane Nyaguthii Tellis, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2150 Freeman Rd E, Fife, WA 98424
Phone: 263-942-5644    
Ms. Carrie-anne Keane, MSN, APRN, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3203 Wilton Ln E, Fife, WA 98424
Phone: 253-533-5768    
Denise Lee Raddatz, ARNP, AGNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3700 Pacific Hwy E Ste 100, Fife, WA 98424
Phone: 253-382-6300    Fax: 253-382-6301

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.