Miss Samantha Manuel I, NP-C - Medicare Nurse Practitioner in Johnson City, TN

Miss Samantha Manuel I, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Johnson City, Tennessee. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fast Pace Medical Clinic Pllc and her current practice location is 1021 W Oakland Ave, Suite 301, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 952-8000.

Miss Samantha Manuel I is licensed to practice in Tennessee (license number 19279) 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 1013314384.

Contact Information

Miss Samantha Manuel I, NP-C
1021 W Oakland Ave, Suite 301,
Johnson City, TN 37604-2191
(423) 952-8000
(423) 952-8001



Provider's Profile

Full NameMiss Samantha Manuel I
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location1021 W Oakland Ave, Johnson City, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Miss Samantha Manuel I graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1013314384
  • Provider Enumeration Date: 12/02/2014
  • Last Update Date: 02/16/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 6507180148
  • Enrollment ID: I20151013002276

Medical Identifiers

Medical identifiers for Miss Samantha Manuel I such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013314384NPI-NPPES
1013314384MedicaidVA
Q014674MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 5007356 (North Carolina)Secondary
363LF0000XNurse Practitioner - Family 19279 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fast Pace Medical Clinic Pllc5395881841510

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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. Miss Samantha Manuel I allows following entities to bill medicare on her behalf.
Entity NameBlue Ridge Medical Management Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144380833
PECOS PAC ID: 9739099441
Enrollment ID: O20031204000996

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Entity NameFast Pace Medical Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134452865
PECOS PAC ID: 5395881841
Enrollment ID: O20091014000112

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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. Miss Samantha Manuel I 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
Miss Samantha Manuel I, NP-C
1021 W Oakland Ave, Suite 301,
Johnson City, TN 37604-2191

Ph: (423) 952-8000
Miss Samantha Manuel I, NP-C
1021 W Oakland Ave, Suite 301,
Johnson City, TN 37604-2191

Ph: (423) 952-8000

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Nurse Practitioner Nurses in Johnson City, TN

Amber Ramsey, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615
Phone: 423-282-1480    Fax: 423-928-1353
Connie T Rutledge, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604
Phone: 423-794-5520    Fax: 423-282-6940
Charity Helton, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 325 N. State Of Franklin Road, Ground Fl, Johnson City, TN 37604
Phone: 423-439-7320    
Meghan Marie Hollier, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1018 Chase Dr, Johnson City, TN 37604
Phone: 423-282-3379    Fax: 423-430-6227
Michael David Smith, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3019 Peoples St # Condo300, Johnson City, TN 37604
Phone: 423-461-2100    Fax: 423-461-2199
Shelly J Mcintosh, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 301 Med Tech Pkwy, Suite 240, Johnson City, TN 37604
Phone: 423-794-5520    Fax: 423-282-0720

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