Eric E Sisam, APRN, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Parker, AZ

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Eric E Sisam, APRN, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Parker, Arizona. He graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Antigua Anesthesia Management, Llc, Southeast Valley Gastroenterology Consultants, P.c. and his current practice location is 1200 W Mohave Rd, Parker, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 669-9201.

Eric E Sisam is licensed to practice in Arizona (license number CRNA1126) 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 1518251503.

Contact Information

Eric E Sisam, APRN, CRNA
1200 W Mohave Rd,
Parker, AZ 85344-6349
(928) 669-9201
Not Available

Map and Direction




Provider's Profile

Full NameEric E Sisam
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience13 Years
Location1200 W Mohave Rd, Parker, Arizona
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:
  • Eric E Sisam graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1518251503
  • Provider Enumeration Date: 06/07/2011
  • Last Update Date: 10/11/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9739358490
  • Enrollment ID: I20150805009665

Medical Identifiers

Medical identifiers for Eric E Sisam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518251503NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered CRNA-01404 (New Mexico)Secondary
367500000XNurse Anesthetist, Certified Registered CRNA1126 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Western Arizona Regional Medical CenterBullhead city, AZHospital
Kingman Regional Medical CenterKingman, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Antigua Anesthesia Management, Llc387090867612
Southeast Valley Gastroenterology Consultants, P.c.943614227028

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. Eric E Sisam allows following entities to bill medicare on his behalf.
Entity NameValley Anesthesiology Consultants Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285660704
PECOS PAC ID: 4880591841
Enrollment ID: O20031217000620
Entity NameLa Paz Regional Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083639983
PECOS PAC ID: 1557273356
Enrollment ID: O20031219000694
Entity NameSoutheast Valley Gastroenterology Consultants, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104861905
PECOS PAC ID: 9436142270
Enrollment ID: O20040406001749
Entity NameGateway Anesthesia And Pain Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710026125
PECOS PAC ID: 0042314668
Enrollment ID: O20070409000257
Entity NameAmsurg North Valley Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629351788
PECOS PAC ID: 7416121447
Enrollment ID: O20111130000888
Entity NameArizona Endoscopy Center Sedation Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427325356
PECOS PAC ID: 7517124050
Enrollment ID: O20120210000298
Entity NameLa Paz Regional Hospital Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1053684555
PECOS PAC ID: 1557273356
Enrollment ID: O20120409000056
Entity NameDel Anesthesia Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053653600
PECOS PAC ID: 4688801517
Enrollment ID: O20131220000414
Entity NameGreater Anesthesia Solutions
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124430244
PECOS PAC ID: 9234357906
Enrollment ID: O20140822000525
Entity NameAnesthesia Partners & Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336530997
PECOS PAC ID: 9931429198
Enrollment ID: O20150529000706
Entity NameClinical Colleagues Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366958274
PECOS PAC ID: 8729011333
Enrollment ID: O20180222002396
Entity NameGrand Canyon Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356822902
PECOS PAC ID: 3678824752
Enrollment ID: O20180928002378
Entity NameAsap Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760082184
PECOS PAC ID: 7810301751
Enrollment ID: O20210204000266
Entity NameAntigua Anesthesia Management, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912502055
PECOS PAC ID: 3870908676
Enrollment ID: O20210208002425

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. Eric E Sisam 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
Eric E Sisam, APRN, CRNA
3696 Chesapeake Blvd,
Lake Havasu City, AZ 86406-4350

Ph: (203) 450-7247		Eric E Sisam, APRN, CRNA
1200 W Mohave Rd,
Parker, AZ 85344-6349

Ph: (928) 669-9201

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Parker, AZ

William G Borman, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1200 W Mohave Rd, Parker, AZ 85344
Phone: 928-669-9201    
Tricia Buchholz, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1200 W Mohave Rd, Parker, AZ 85344
Phone: 928-669-9201    

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.