Dr Samantha Juanita Vickers, DNP, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Jacksonville, FL

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Dr Samantha Juanita Vickers, DNP, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jacksonville, Florida. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Sunshine State Anesthesia Partners Llc and her current practice location is 3625 University Blvd S, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 702-6111.

Dr Samantha Juanita Vickers is licensed to practice in Florida (license number APRN11000749) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417429523.

Contact Information

Dr Samantha Juanita Vickers, DNP, CRNA
3625 University Blvd S,
Jacksonville, FL 32216-4207
(904) 702-6111
Not Available

Map and Direction




Provider's Profile

Full NameDr Samantha Juanita Vickers
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience6 Years
Location3625 University Blvd S, Jacksonville, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Samantha Juanita Vickers graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1417429523
  • Provider Enumeration Date: 12/31/2018
  • Last Update Date: 04/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9931307022
  • Enrollment ID: I20190319002565

Medical Identifiers

Medical identifiers for Dr Samantha Juanita Vickers such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417429523NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered APRN11000749 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hospital JacksonvilleJacksonville, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sunshine State Anesthesia Partners Llc8123434792365

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. Dr Samantha Juanita Vickers allows following entities to bill medicare on her behalf.
Entity NameSunshine State Anesthesia Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437757127
PECOS PAC ID: 8123434792
Enrollment ID: O20210305000003

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. Dr Samantha Juanita Vickers 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
Dr Samantha Juanita Vickers, DNP, CRNA
47 Loggerhead Ln,
Ponte Vedra, FL 32082-2585

Ph: (315) 651-0047		Dr Samantha Juanita Vickers, DNP, CRNA
3625 University Blvd S,
Jacksonville, FL 32216-4207

Ph: (904) 702-6111

Reviews and Comments


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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.