Samantha Audrey Mcdougal, PA-C in Carson City, NV - Medicare Physician Assistant

Samantha Audrey Mcdougal, PA-C is a medicare enrolled "Physician Assistant" in Carson City, Nevada. Her current practice location is 1475 Medical Pkwy, Carson City, Nevada. You can reach out to her office (for appointments etc.) via phone at (775) 883-3636.

Samantha Audrey Mcdougal is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1821656174.

Contact Information

	Samantha Audrey Mcdougal, PA-C
	1475 Medical Pkwy, Carson City, NV 89703-4635
	(775) 883-3636
	(775) 882-2382

Provider's Profile

Full Name	Samantha Audrey Mcdougal
Gender	Female
Speciality	Physician Assistant
Location	1475 Medical Pkwy, Carson City, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821656174
Provider Enumeration Date: 06/02/2019
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 0648645705
Enrollment ID: I20230404001188

Medical Identifiers

Medical identifiers for Samantha Audrey Mcdougal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821656174	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Primary

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. Samantha Audrey Mcdougal 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
Samantha Audrey Mcdougal, PA-C 1200 Mountain St Ste 230, Carson City, NV 89703-3867 Ph: (775) 283-5029	Samantha Audrey Mcdougal, PA-C 1475 Medical Pkwy, Carson City, NV 89703-4635 Ph: (775) 883-3636

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Physician Assistant Nurses in Carson City, NV

Jeromy Dyer, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 973 Mica Drive, Suite 201, Carson City, NV 89705 Phone: 775-783-6190 Fax: 775-783-6191
Tatiana M. Warner, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3325 Research Way, Carson City, NV 89706 Phone: 775-887-5140 Fax: 775-884-3618
Angelica Faviola Flores-piegdon, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1200 Mountain St Ste 230, Carson City, NV 89703 Phone: 775-882-1324
Ashley Sims, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1200 Mountain St Ste 230, Carson City, NV 89703 Phone: 775-882-1324 Fax: 775-882-3859
Ryan Tognotti, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 973 Mica Dr. Suite 201, Carson City, NV 89705 Phone: 775-783-6109 Fax: 775-783-6178
Robin Therese Reaney-smith, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3325 Research Way, Carson City, NV 89706 Phone: 775-887-5140 Fax: 775-884-3618
Mr. James H Nicely, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1001 Mountain St, Suite 3 M, Carson City, NV 89703 Phone: 775-885-8890 Fax: 775-885-8865

Samantha Audrey Mcdougal, PA-C - Medicare Physician Assistant in Carson City, NV