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SAMANTHA MICHELLE LEBOUEF
NPI 1730696212
Chiropractor in Wylie, TX

Active since January 05, 2018Accepts Medicare Assignment
102 S JACKSON AVE, STE A, WYLIE, TX 75098(214) 284-1293 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 10, 2022, Jan 3, 2022 (2 updates tracked since 2022).

About Samantha Michelle Lebouef NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA MICHELLE LEBOUEF (NPI 1730696212) is an individual chiropractor in Wylie, Texas, licensed in Texas (13636) and active in the NPI registry since January 2018. She is a graduate of Other (2017).

NPPES Registry Identity

NPI1730696212
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameSAMANTHA MICHELLE LEBOUEF
Location Address102 S JACKSON AVE, STE AWylie, TX 75098-3938
Mailing Address3514 Ridgestone DrGarland, TX 75040-3596
Phone(214) 284-1293
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 5, 2018
Last NPPES UpdateJanuary 10, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2022
✔ NPI 1730696212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in TX · 13636
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

102 S JACKSON AVE, Wylie, TX 75098
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Michelle Lebouef is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961896758
PECOS Enrollment IDI20220221001057

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
476 services51 patients

Frequently Asked Questions

What is Samantha Lebouef's NPI number?

The NPI number assigned to this healthcare provider is 1730696212, enumerated as an "individual" on January 05, 2018.

Where is the provider located?

The provider is located at 102 S JACKSON AVE STE A WYLIE, TX 75098 and the phone number is (214) 284-1293.

What is the provider's specialty?

Chiropractor with taxonomy code 111N00000X.

What insurance does Samantha Lebouef accept?

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.