Mr Samuel White, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Waynesboro, MS

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Mr Samuel White, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Waynesboro, Mississippi. He graduated from nursing school in 2005 and has 20 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Sweet Dreams Anesthesia Pllc, Wayne General Hospital and his current practice location is 950 Matthew Dr, Waynesboro, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 735-7101.

Mr Samuel White is licensed to practice in Mississippi (license number R860585) 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 1619916434.

Contact Information

Mr Samuel White, CRNA
950 Matthew Dr,
Waynesboro, MS 39367-2567
(601) 735-7101
(601) 735-7181

Map and Direction




Provider's Profile

Full NameMr Samuel White
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience20 Years
Location950 Matthew Dr, Waynesboro, Mississippi
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:
  • Mr Samuel White graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1619916434
  • Provider Enumeration Date: 06/06/2006
  • Last Update Date: 07/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7719905470
  • Enrollment ID: I20051110000783

Medical Identifiers

Medical identifiers for Mr Samuel White such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619916434NPI-NPPES
02672767MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered R860585 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wayne General HospitalWaynesboro, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sweet Dreams Anesthesia Pllc125475768517
Wayne General Hospital266845758130

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. Mr Samuel White allows following entities to bill medicare on his behalf.
Entity NameWayne General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093930638
PECOS PAC ID: 2668457581
Enrollment ID: O20040623000865
Entity NameSouthern Eye Surgery Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417112277
PECOS PAC ID: 9931278637
Enrollment ID: O20080521000442
Entity NameSouth Central Clinics, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801226287
PECOS PAC ID: 4385876655
Enrollment ID: O20140515000834
Entity NameSouthern Eye Surgery And Laser Center, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295244226
PECOS PAC ID: 5496030595
Enrollment ID: O20171114002076
Entity NameGac Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386112639
PECOS PAC ID: 4587902663
Enrollment ID: O20190214002975
Entity NameR&r Anesthesia Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114494796
PECOS PAC ID: 2163761339
Enrollment ID: O20190306000065
Entity NameSweet Dreams Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427667724
PECOS PAC ID: 1254757685
Enrollment ID: O20200817002170
Entity NameSoms Anesthesia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063010189
PECOS PAC ID: 9133531254
Enrollment ID: O20201215000881

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. Mr Samuel White 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
Mr Samuel White, CRNA
950 Matthew Dr,
Waynesboro, MS 39367-2590

Ph: (601) 735-7101		Mr Samuel White, CRNA
950 Matthew Dr,
Waynesboro, MS 39367-2567

Ph: (601) 735-7101

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Waynesboro, MS

Marie Dickerson, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 950 Matthew Drive, Waynesboro, MS 39367
Phone: 601-735-7102    Fax: 601-735-7168

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.