| Samantha Childers, DPM | |
|
351 W. Byron Nelson Blvd, Suite 100, Roanoke, TX 76262 | |
| (415) 602-2048 | |
| Not Available |
| Full Name | Samantha Childers |
|---|---|
| Gender | Female |
| Speciality | Podiatry |
| Experience | 21 Years |
| Location | 351 W. Byron Nelson Blvd, Roanoke, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790837425 | NPI | - | NPPES |
| #8FV228 | Other | TX | BCBSTX |
| 355509601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 1931 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor Scott & White Medical Center Grapevine | Grapevine, TX | Hospital |
| Medical City Denton | Denton, TX | Hospital |
| Methodist Southlake Hospital | Southlake, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Roanoke Foot And Ankle Institute Pllc | 4981032992 | 2 |
| Provider Name | Richard A Nichols Dpm P A |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083804298 PECOS PAC ID: 8325010762 Enrollment ID: O20040806001150 |
| Provider Name | Roanoke Foot & Ankle Institute Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497399687 PECOS PAC ID: 4981032992 Enrollment ID: O20200324003753 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Childers, DPM 1224 N Highway 377 # 303-151, Roanoke, TX 76262-9103 Ph: (817) 674-7494 | Samantha Childers, DPM 351 W. Byron Nelson Blvd, Suite 100, Roanoke, TX 76262 Ph: (415) 602-2048 |
Roanoke Foot & Ankle Institute, Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 351 W Byron Nelson Blvd, Suite 100, Roanoke, TX 76262 Phone: 817-674-7494 Fax: 817-674-7496 |