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Chelsea Sams

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

14214 Ballantyne Lake Rd, Suite 100, Charlotte, NC 28277-3372

PECOS Enrollment

Based on the most recent information from CMS, provider Chelsea Sams is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1417354861
Provider Type
Individual
Full Name
Sams, Chelsea
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
12/1/2014
Last Updated
10/26/2020

Contact Information

Practice Location

14214 Ballantyne Lake Rd, Suite 100, Charlotte, NC 28277-3372

(704) 667-2650

Unlisted Fax

Mailing Location

PO Box 19305, Charlotte, NC 28219-9305

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 0010-06869 North Carolina

Chelsea Sams

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Sheldon, Jennifer Shields