Mckenzie Louis Samuelson, - Medicare Nurse Anesthetist, Certified Registered in South Weymouth, MA

  1. Home
  2. Nurse Anesthetist - CR
  3. MA
  4. South Weymouth
Mckenzie Louis Samuelson, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in South Weymouth, Massachusetts. His current practice location is 55 Fogg Rd, South Weymouth, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (781) 624-8000.

Mckenzie Louis Samuelson is licensed to practice in Massachusetts (license number RN2341474) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1932831716.

Contact Information

Mckenzie Louis Samuelson,
55 Fogg Rd,
South Weymouth, MA 02190-2432
(781) 624-8000
Not Available

Map and Direction




Provider's Profile

Full NameMckenzie Louis Samuelson
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location55 Fogg Rd, South Weymouth, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1932831716
  • Provider Enumeration Date: 06/29/2022
  • Last Update Date: 06/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6507224946
  • Enrollment ID: I20230616002031

Medical Identifiers

Medical identifiers for Mckenzie Louis Samuelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932831716NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN2341474 (Massachusetts)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. Mckenzie Louis Samuelson allows following entities to bill medicare on his behalf.
Entity NameNew England Eye Surgical Assoc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760449979
PECOS PAC ID: 2466431853
Enrollment ID: O20040719000827
Entity NameCoastal Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932175684
PECOS PAC ID: 7113029257
Enrollment ID: O20070221000057

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. Mckenzie Louis Samuelson 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
Mckenzie Louis Samuelson,
285 Hancock St Apt 1403,
Quincy, MA 02171-2478

Ph: (616) 240-7552		Mckenzie Louis Samuelson,
55 Fogg Rd,
South Weymouth, MA 02190-2432

Ph: (781) 624-8000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in South Weymouth, MA

Kerry Ana Vittum, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 55 Fogg Rd, South Weymouth, MA 02190
Phone: 781-624-8000    
Tara Marie Steele,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 55 Fogg Rd, South Weymouth, MA 02190
Phone: 781-624-8000    
Julia Mancuso,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 55 Fogg Rd, South Weymouth, MA 02190
Phone: 781-624-8000    

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.