Mr Tommy Wayne Sampson, CRNA in Elkhart, IN - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Tommy Wayne Sampson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Elkhart, Indiana. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Midwest Anesthesia Providers Sc and his current practice location is 500 N Nappanee St, Suite 11b, Elkhart, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 522-9922.

Mr Tommy Wayne Sampson is licensed to practice in Missouri (license number 2016033441) 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 1730514993.

Contact Information

	Mr Tommy Wayne Sampson, CRNA
	500 N Nappanee St, Suite 11b, Elkhart, IN 46514-1503
	(574) 522-9922
	(574) 522-9926

Map and Direction

Provider's Profile

Full Name	Mr Tommy Wayne Sampson
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	11 Years
Location	500 N Nappanee St, Elkhart, Indiana
Accepts Medicare Assignments	Yes. 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 Tommy Wayne Sampson graduated from nursing school in 2013

NPI Data:

NPI Number: 1730514993
Provider Enumeration Date: 09/06/2013
Last Update Date: 02/03/2022

Medicare PECOS Information:

PECOS PAC ID: 6406083583
Enrollment ID: I20170418001329

Medical Identifiers

Medical identifiers for Mr Tommy Wayne Sampson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730514993	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	101222 (Nebraska)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	2016033441 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Parkland Health Center	Farmington, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Midwest Anesthesia Providers Sc	9830480581	143

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 Tommy Wayne Sampson allows following entities to bill medicare on his behalf.

Entity Name	Midwest Anesthesia Providers Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295189082 PECOS PAC ID: 9830480581 Enrollment ID: O20160712001846

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 Tommy Wayne Sampson 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
Mr Tommy Wayne Sampson, CRNA 500 N Nappanee St, Suite 11b, Elkhart, IN 46514-1503 Ph: (574) 522-9922	Mr Tommy Wayne Sampson, CRNA 500 N Nappanee St, Suite 11b, Elkhart, IN 46514-1503 Ph: (574) 522-9922

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Elkhart, IN

Mr. Taqi Qays Abdu-as-salaam, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 N Nappanee St, Suite 11, Elkhart, IN 46514 Phone: 574-522-9922
Mark Mcpherson, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3193
Ms. Barbara Ann Doherty, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1004 Parkway Ave, Suite B, Elkhart, IN 46516 Phone: 574-522-9922 Fax: 574-522-9926
Naznin Lalani, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 N Nappanee, Ste 11b, Elkhart, IN 46514 Phone: 574-522-9922
Joshua Stewart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-294-2621
Lindsay Vasil, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1513 E Jackson Blvd, Elkhart, IN 46516 Phone: 574-523-3193
Denise Christine Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 East Blvd, Elkhart, IN 46514 Phone: 574-523-3193 Fax: 574-523-3463

Mr Tommy Wayne Sampson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Elkhart, IN