Ms Samantha A Kelly, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Rockville Centre, NY

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Ms Samantha A Kelly, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Rockville Centre, New York. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice New York University, Jamaica Anesthesiologist Pc, Long Island Anesthesia Physicians Llp and her current practice location is 1000 N. Village Ave, Rockville Centre, New York. You can reach out to her office (for appointments etc.) via phone at (516) 705-1200.

Ms Samantha A Kelly is licensed to practice in New York (license number 487061) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275557852.

Contact Information

Ms Samantha A Kelly, CRNA
1000 N. Village Ave,
Rockville Centre, NY 11570
(516) 705-1200
Not Available

Map and Direction




Provider's Profile

Full NameMs Samantha A Kelly
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience21 Years
Location1000 N. Village Ave, Rockville Centre, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Samantha A Kelly graduated from nursing school in 2003
  NPI Data:
  • NPI Number: 1275557852
  • Provider Enumeration Date: 07/27/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7517141237
  • Enrollment ID: I20110405000180

Medical Identifiers

Medical identifiers for Ms Samantha A Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275557852NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 487061 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Medical CenterRockville centre, NYHospital
New York University Langone Medical CenterNew york, NYHospital
Jamaica Hospital Medical CenterJamaica, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
New York University13552324224495
Jamaica Anesthesiologist Pc135532346061
Long Island Anesthesia Physicians Llp7113825381118

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. Ms Samantha A Kelly allows following entities to bill medicare on her behalf.
Entity NameRockville Anesthesia Group, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841303997
PECOS PAC ID: 9537071873
Enrollment ID: O20031104000508
Entity NameLong Island Anesthesia Physicians Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952387276
PECOS PAC ID: 7113825381
Enrollment ID: O20040106000103
Entity NameNorth American Partners In Anesthesia Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649264706
PECOS PAC ID: 7719885771
Enrollment ID: O20040108000176
Entity NameNew York University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851456701
PECOS PAC ID: 1355232422
Enrollment ID: O20040329001569
Entity NameJamaica Anesthesiologist Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508812892
PECOS PAC ID: 1355323460
Enrollment ID: O20040602001672

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. Ms Samantha A Kelly 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
Ms Samantha A Kelly, CRNA
194-04 111th Road,
St. Albans, NY 11412-2019

Ph: (718) 479-0245		Ms Samantha A Kelly, CRNA
1000 N. Village Ave,
Rockville Centre, NY 11570

Ph: (516) 705-1200

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Rockville Centre, NY

Christine G Darsan, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1000 N Village Ave, Rockville Centre, NY 11570
Phone: 516-705-2525    
Joseph Biscardi Ii, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 N Village Ave, Rockville Centre, NY 11570
Phone: 516-705-2525    
Priscilla Gordon, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 N Village Ave, Rockville Centre, NY 11570
Phone: 516-705-1200    
Ms. Patricia J. Bulin, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 176 N Village Ave, Rockville Centre, NY 11570
Phone: 516-764-2115    
Mrs. Sara A. Maccorkindale, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 176 N Village Ave, Suite 2d, Rockville Centre, NY 11570
Phone: 516-764-2115    

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.