Look up the most recent NPI and PECOS records

Samantha Joelle Rushton

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

100 S 10th St Ste B, Lillington, NC 27546-6690

PECOS Enrollment

Based on the most recent information from CMS, provider Samantha Joelle Rushton does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1295154805
Provider Type
Individual
Full Name
Rushton, Samantha Joelle
Title
Mrs.
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
4/10/2014
Last Updated
4/20/2016

Contact Information

Practice Location

100 S 10th St Ste B, Lillington, NC 27546-6690

(910) 984-8229

(910) 514-9717

Mailing Location

PO Box 647, Attn: Credentialing Department, Hope Mills, NC 28348-0647

(910) 483-7337

(910) 483-0648

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 001004756 North Carolina

Provider Identifiers

ID	Description	Issuer
ID 1295154805	Description Other	Issuer DOCTORS DIRECT North Carolina
ID 1295154805	Description Medicaid	Issuer Unlisted North Carolina
ID 1461976	Description Other	Issuer WELLPATH North Carolina
ID 186WS	Description Other	Issuer BCBS OF NC North Carolina
ID FH4001720	Description Other	Issuer FIRST CAROLINA CARE North Carolina
ID 4302372	Description Other	Issuer COVENTRY NATIONAL PPO North Carolina
ID 251128	Description Other	Issuer MEDCOST, LLC North Carolina
ID 4341301	Description Other	Issuer UNITED HEALTHCARE North Carolina
ID 4741883	Description Other	Issuer AETNA North Carolina
ID 5678738	Description Other	Issuer CIGNA/GREATWEST North Carolina
ID 13356163	Description Other	Issuer PHCS/MULTIPLAN North Carolina
ID 1461976	Description Other	Issuer COVENTRY OF NC North Carolina
ID 1295154805	Description Other	Issuer HEALTHNET FEDERAL SERVICES North Carolina
ID 1295154805	Description Other	Issuer HUMANA North Carolina
ID 1295154805	Description Other	Issuer HEALTHSMART North Carolina

Samantha Joelle Rushton

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer