Ms Samantha Denise Broadwater, CRNA in Tifton, GA - Medicare Nurse Anesthetist, Certified Registered

Ms Samantha Denise Broadwater, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tifton, Georgia. Her current practice location is 901 18th St E, Tifton, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 382-7120.

Ms Samantha Denise Broadwater is licensed to practice in Georgia (license number RN270598) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1568032274.

Contact Information

	Ms Samantha Denise Broadwater, CRNA
	901 18th St E, Tifton, GA 31794-3648
	(229) 382-7120
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Samantha Denise Broadwater
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	901 18th St E, Tifton, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568032274
Provider Enumeration Date: 06/26/2021
Last Update Date: 07/31/2023

Medicare PECOS Information:

PECOS PAC ID: 3779945472
Enrollment ID: I20230811002587

Medical Identifiers

Medical identifiers for Ms Samantha Denise Broadwater such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568032274	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN270598 (Georgia)	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. Ms Samantha Denise Broadwater allows following entities to bill medicare on her behalf.

Entity Name	Tift Regional Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881203305 PECOS PAC ID: 2062745169 Enrollment ID: O20200217002409

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 Denise Broadwater 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
Ms Samantha Denise Broadwater, CRNA 901 18th St E, Tifton, GA 31794-3648 Ph: (229) 382-7120	Ms Samantha Denise Broadwater, CRNA 901 18th St E, Tifton, GA 31794-3648 Ph: (229) 382-7120

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Tifton, GA

Cole Burgess, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-353-6124 Fax: 229-353-7722
Heath Farmer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-353-6124 Fax: 229-353-7722
Brenda H. Warren, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-382-7120
Brianna Emadi, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-382-7120
Anna Driggers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-382-7120
Jacob Paulk, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-353-6124 Fax: 229-353-7722
June Harper, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-353-6208 Fax: 229-353-7722

Ms Samantha Denise Broadwater, CRNA - Medicare Nurse Anesthetist, Certified Registered in Tifton, GA