Dr Samantha Mae Aufderhaar, DNP, CRNA in Peoria, IL - Medicare Nurse Anesthetist, Certified Registered

Dr Samantha Mae Aufderhaar, DNP, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Peoria, Illinois. Her current practice location is 530 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 655-2000.

Dr Samantha Mae Aufderhaar is licensed to practice in Wisconsin (license number 145026) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104603695.

Contact Information

	Dr Samantha Mae Aufderhaar, DNP, CRNA
	530 Ne Glen Oak Ave, Peoria, IL 61637-0001
	(309) 655-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Samantha Mae Aufderhaar
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	530 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104603695
Provider Enumeration Date: 09/11/2023
Last Update Date: 09/11/2023

Medicare PECOS Information:

PECOS PAC ID: 5597112763
Enrollment ID: I20231109000543

Medical Identifiers

Medical identifiers for Dr Samantha Mae Aufderhaar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104603695	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	145026 (Wisconsin)	Primary

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 Mae Aufderhaar allows following entities to bill medicare on her behalf.

Entity Name	Associated Anesthesiologists Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558306480 PECOS PAC ID: 6305744129 Enrollment ID: O20031230000544

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 Mae Aufderhaar 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 Address	Practice Location Address
Dr Samantha Mae Aufderhaar, DNP, CRNA 901 Woodland Knolls Rd, Germantown Hills, IL 61548-9432 Ph: (608) 886-8719	Dr Samantha Mae Aufderhaar, DNP, CRNA 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 655-2000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Peoria, IL

Melissa Terhark, C.R.N.A Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 8600 North State Route 91, Suite #250, Peoria, IL 61615 Phone: 309-692-5394 Fax: 309-692-2538
Bradley Alan Kirkenir, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 7309 N Knoxville Ave, Peoria, IL 61614 Phone: 217-528-7541
Mathew J Maupin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5401 N. Knoxville Suite 416, Peoria, IL 61528 Phone: 309-692-7246 Fax: 309-692-7226
Sandra M Krahn, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5522
Adam Randel Osborne, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5550
Mr. Gary L Boniger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8600 N State Route 91, Suite 250, Peoria, IL 61615 Phone: 309-692-5393 Fax: 309-692-2538

Dr Samantha Mae Aufderhaar, DNP, CRNA - Medicare Nurse Anesthetist, Certified Registered in Peoria, IL