Mrs Jeuelle M Ottley Sam, PA-C - Medicare Physician Assistant in Takoma Park, MD

Mrs Jeuelle M Ottley Sam, PA-C is a medicare enrolled "Physician Assistant" in Takoma Park, Maryland. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Mind And Soul Telewellness Llc, Thriving Lane and her current practice location is 7610 Carroll Ave, Suite 200, Takoma Park, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 891-2077.

Mrs Jeuelle M Ottley Sam is licensed to practice in Maryland (license number C0002743) 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 1740341924.

Contact Information

Mrs Jeuelle M Ottley Sam, PA-C
7610 Carroll Ave, Suite 200,
Takoma Park, MD 20912-6384
(301) 891-2077
(301) 891-2080



Provider's Profile

Full NameMrs Jeuelle M Ottley Sam
GenderFemale
SpecialityPhysician Assistant
Experience3 Years
Location7610 Carroll Ave, Takoma Park, Maryland
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:
  • Mrs Jeuelle M Ottley Sam graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1740341924
  • Provider Enumeration Date: 12/12/2006
  • Last Update Date: 03/05/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7315367216
  • Enrollment ID: I20210318000042

Medical Identifiers

Medical identifiers for Mrs Jeuelle M Ottley Sam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740341924NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant C0002743 (Maryland)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mind And Soul Telewellness Llc81233505762
Thriving Lane13557410838

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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. Mrs Jeuelle M Ottley Sam 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
Mrs Jeuelle M Ottley Sam, PA-C
6 Park Center Ct, Ste 210,
Owings Mills, MD 21117-5604

Ph: (443) 953-8922
Mrs Jeuelle M Ottley Sam, PA-C
7610 Carroll Ave, Suite 200,
Takoma Park, MD 20912-6384

Ph: (301) 891-2077

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Physician Assistant Nurses in Takoma Park, MD

Mr. Jason Robert Barfuss, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 7600 Carroll Ave, Takoma Park, MD 20912
Phone: 301-891-7600    
Rebecca Murphy, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7600 Carroll Ave, Takoma Park, MD 20912
Phone: 301-891-7600    
Allyson L Conley, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 7600 Carroll Avenue, Washington Adventist Hospital, Takoma Park, MD 20912
Phone: 301-891-5070    Fax: 301-891-5132
Mrs. Julia Berman Grossman, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7600 Carroll Ave, Takoma Park, MD 20912
Phone: 301-891-5447    
Brinton B Jackson, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7600 Carroll Ave, Takoma Park, MD 20912
Phone: 301-891-5070    Fax: 301-891-5132
Mr. Brian Deori, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 7600 Carroll Ave, Takoma Park, MD 20912
Phone: 301-891-7600    
Mr. Daniel Shiferaw, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7600 Carroll Ave, Takoma Park, MD 20912
Phone: 301-891-7600    

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