Samuel Adekunle Adefeyisan, MD - Medicare Anesthesiology in Grand Prairie, TX

Samuel Adekunle Adefeyisan, MD is a medicare enrolled "Anesthesiology" physician in Grand Prairie, Texas. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice American Anesthesiology Associates Of Georgia Llc, Musc Community Physicians, Prisma Health University Medical Group and his current practice location is 4314 Clayton St, Grand Prairie, Texas. You can reach out to his office (for appointments etc.) via phone at (214) 708-9590.

Samuel Adekunle Adefeyisan is licensed to practice in Georgia (license number 062934) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1568673556.

Contact Information

Samuel Adekunle Adefeyisan, MD
4314 Clayton St,
Grand Prairie, TX 75052-3433
(214) 708-9590
Not Available

Map and Direction




Physician's Profile

Full NameSamuel Adekunle Adefeyisan
GenderMale
SpecialityAnesthesiology
Experience38 Years
Location4314 Clayton St, Grand Prairie, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samuel Adekunle Adefeyisan graduated from medical school in 1986
  NPI Data:
  • NPI Number: 1568673556
  • Provider Enumeration Date: 05/24/2007
  • Last Update Date: 03/21/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8527183839
  • Enrollment ID: I20190820003073

Medical Identifiers

Medical identifiers for Samuel Adekunle Adefeyisan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568673556NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 83699 (South Carolina)Secondary
207L00000XAnesthesiology MD.29707 (Alabama)Secondary
208000000XPediatrics 062934 (Georgia)Secondary
208000000XPediatrics MD.2009 (Alabama)Secondary
2080P0203XPediatrics - Pediatric Critical Care Medicine 062934 (Georgia)Secondary
2080P0203XPediatrics - Pediatric Critical Care Medicine MD.29707 (Alabama)Secondary
207L00000XAnesthesiology 062934 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Prisma Health Richland HospitalColumbia, SCHospital
Musc Health Florence Medical CenterFlorence, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
American Anesthesiology Associates Of Georgia Llc7618934779209
Musc Community Physicians6507260668793
Prisma Health University Medical Group83259509832206

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Samuel Adekunle Adefeyisan allows following entities to bill medicare on his behalf.
Entity NameAmerican Anesthesiology Associates Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528068673
PECOS PAC ID: 7618934779
Enrollment ID: O20041210000442

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samuel Adekunle Adefeyisan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Samuel Adekunle Adefeyisan, MD
4314 Clayton St,
Grand Prairie, TX 75052-3433

Ph: (214) 708-9590
Samuel Adekunle Adefeyisan, MD
4314 Clayton St,
Grand Prairie, TX 75052-3433

Ph: (214) 708-9590

Reviews and Comments


Anesthesiology Doctors in Grand Prairie, TX

Dr. Adam Christopher Lenz, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 2044 Paducah Ln, Grand Prairie, Grand Prairie, TX 75052
Phone: 214-909-7692    
Dr. Annette H Bamberger-perkins, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 517 N Carrier Pkwy Ste A, Grand Prairie, TX 75050
Phone: 469-251-1734    Fax: 972-642-5183

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.