MEDICARE: SAMANTHA M BIESEMEIER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246ZA2600X	Medical Art Specialist/Technologist

General Provider Information

NPI Number	:	1578406294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA M BIESEMEIER

Provider Business Mailing Address
First Line	:	1865 TABOR ST
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80215-2633
Country	:	US
Telephone Number	:	303-317-7471
Fax Number	:

Provider Business Practice Location Address
First Line	:	3316 TEJON ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-3553
Country	:	US
Telephone Number	:	720-759-4816
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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Directions to “ SAMANTHA M BIESEMEIER ” Practice Location

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