Samuel K Self, DNP in Baltimore, MD - Medicare Certified Registered Nurse Anesthetist (crna)

Samuel K Self, DNP is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Baltimore, Maryland. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Bestgate Anesthesia Llc and his current practice location is 22 S Greene St, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 328-0241.

Samuel K Self is licensed to practice in Maryland (license number R242089) 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 1538534771.

Contact Information

	Samuel K Self, DNP
	22 S Greene St, Baltimore, MD 21201-1544
	(410) 328-0241
	Not Available

Map and Direction

Provider's Profile

Full Name	Samuel K Self
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	9 Years
Location	22 S Greene St, Baltimore, Maryland
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:

Samuel K Self graduated from nursing school in 2015

NPI Data:

NPI Number: 1538534771
Provider Enumeration Date: 12/13/2015
Last Update Date: 04/15/2020

Medicare PECOS Information:

PECOS PAC ID: 7113202748
Enrollment ID: I20200617002979

Medical Identifiers

Medical identifiers for Samuel K Self such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538534771	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R242089 (Maryland)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	R242089 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bestgate Anesthesia Llc	9739309766	12

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. Samuel K Self allows following entities to bill medicare on his behalf.

Entity Name	Shock Trauma Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679512909 PECOS PAC ID: 6800882317 Enrollment ID: O20040421000976

Entity Name	University Of Maryland Medical System Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508807355 PECOS PAC ID: 7113914771 Enrollment ID: O20040427000918

Entity Name	Bestgate Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568889327 PECOS PAC ID: 9739309766 Enrollment ID: O20140925001213

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. Samuel K Self 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
Samuel K Self, DNP 22 S Greene St, Baltimore, MD 21201-1544 Ph: () -	Samuel K Self, DNP 22 S Greene St, Baltimore, MD 21201-1544 Ph: (410) 328-0241

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Baltimore, MD

Ms. Jennifer Renee Pease Moreno, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Jhu 600 N Wolfe St, Dept Anesthesia Critical Care Medicine- Blalock 14th Fl, Baltimore, MD 21287 Phone: 410-955-4552
Kristen Marll, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2401 W Belvedere Ave, Baltimore, MD 21215 Phone: 410-601-5209
Mrs. Victoria Volta Manger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 S Caton Ave, Baltimore, MD 21229 Phone: 667-234-3045
Duncan Mcelfresh, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2401 W Belvedere Ave, Anesthesia Department, Baltimore, MD 21215 Phone: 410-601-5209 Fax: 410-601-9744
Mr. Michael W Hoban, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 301 Saint Paul St, Baltimore, MD 21202 Phone: 410-332-9375
Mrs. Dama Reter Yekeson-koffa, RN, SRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4940 Eastern Ave, Anesthesia Department Bayview Medical Center, Baltimore, MD 21224 Phone: 443-694-8960 Fax: 410-356-5821
Kelly Mccarthy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 22 S Greene St, Baltimore, MD 21201 Phone: 410-328-8667

Samuel K Self, DNP - Medicare Certified Registered Nurse Anesthetist (crna) in Baltimore, MD