Samantha Joan Bethel-Ellison, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME137541 Issued in FL

Practice address

13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926

Phone

(813) 779-6303

Fax

(888) 977-1998

NPI assigned

Mar 27, 2014

Last updated

Oct 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Howard University College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Hospital Medicine Services of FL, LLCGroup PAC ID 9234596743, 513 clinicians

Ridgewood Physician Services, LLCGroup PAC ID 0446594105, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Sebring Hospital, Sebring, FL, CCN 100109
• HCA Florida Highlands Hospital Hospital, Sebring, FL, CCN 100049
• Adventhealth Heart of Florida Hospital, Davenport, FL, CCN 100137

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 30)

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Florida Hospital Physician Group Inc

  dba AdventHealth Medical Group

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1174955256

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Hospital Medicine Services of FL, LLC

  • Hospitalist Physician
  • Aventura, FL
  • NPI 1710684857
  Medicare reassignment Care Compare group NPD
• Ridgewood Physician Services, LLC

  • Hospitalist Physician
  • Davenport, FL
  • NPI 1295216034
  Medicare reassignment Care Compare group NPD
• Adventist Health System-Sunbelt Inc

  dba AdventHealth Cancer Institute Sebring

  • General Acute Care Hospital
  • Sebring, FL
  • NPI 1083692594
  Medicare reassignment NPD
• Adventist Health System-Sunbelt Inc

  dba AdventHealth Medical Group Cardiology & Vascular Medicine at Wauchula

  • Family Medicine Physician
  • Wauchula, FL
  • NPI 1578725941
  Medicare reassignment NPD
• Eastside Hospitalists Inc

  • Hospitalist Physician
  • Hollywood, FL
  • NPI 1285676957
  Medicare reassignment NPD
• Hni Hospital Services of Florida, LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Panama City, FL
  • NPI 1144851411
  Medicare reassignment NPD
• Hni Medical Services of Florida, LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1679048284
  Medicare reassignment NPD
• Inpatient Consultants of Florida, Inc

  • Internal Medicine Physician
  • Orange Park, FL
  • NPI 1396795597
  Medicare reassignment NPD
• Lake Wales Physician Services, LLC

  • Hospitalist Physician
  • Lake Wales, FL
  • NPI 1164902797
  Medicare reassignment NPD
• Pioneer Medical Group, PL

  • Internal Medicine Physician
  • Temple Terrace, FL
  • NPI 1710315775
  Medicare reassignment NPD
• Adventist Health System-Sunbelt Inc

  dba AdventHealth Medical Group Breast Surgery, Ear Nose & Throat, General Surgery at Sun N Lake

  • Internal Medicine Physician
  • Sebring, FL
  • NPI 1164698809
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventhealth Polk North Inc

  dba AdventHealth Heart of Florida

  • General Acute Care Hospital
  • Davenport, FL
  • NPI 1801457510
  Care Compare affiliation
• Adventist Health System-Sunbelt Inc

  dba AdventHealth Cancer Institute Sebring

  • General Acute Care Hospital
  • Sebring, FL
  • NPI 1083692594
  Care Compare affiliation
• Sebring Health Services, LLC

  dba HCA Florida Highlands Hospital

  • General Acute Care Hospital
  • Sebring, FL
  • NPI 1598282246
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1275950297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13067 N TELECOM PKWY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370926",
            "telephone_number": "813-779-6303",
            "fax_number": "888-977-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13067 N TELECOM PKWY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370926",
            "telephone_number": "813-779-6303",
            "fax_number": "888-977-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETHEL-ELLISON",
        "first_name": "SAMANTHA",
        "middle_name": "JOAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-27",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME137541",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME137541",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agnes Sharon Berlin, MD
• Chelsea Renee Berry
• Hailey D Bess, APRN
• Best Care Home Health LLC
• Best Care Providers Inc
• Erika Nicole Bethune, D.C.
• Better Days ABA Therapy LLC
• Nathan Bevan, PA
• Camila P Beytia Aguilar
• BF Healthcare LLC

• Internal Medicine Physician in Temple Terrace, FL
• Providers in Temple Terrace, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.