Samantha Ann Heavrin, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Louisville, KY

Samantha Ann Heavrin, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Louisville, Kentucky. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice University Of Louisville Physicians Inc, University Of Louisville Physicians Inc and her current practice location is 3920 Dutchmans Ln, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 259-6710.

Samantha Ann Heavrin is licensed to practice in Kentucky (license number 3005537) 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 1770769101.

Contact Information

Samantha Ann Heavrin, CRNA
3920 Dutchmans Ln,
Louisville, KY 40207-4702
(502) 259-6710
(502) 259-6704

Map and Direction




Provider's Profile

Full NameSamantha Ann Heavrin
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience16 Years
Location3920 Dutchmans Ln, Louisville, Kentucky
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:
  • Samantha Ann Heavrin graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1770769101
  • Provider Enumeration Date: 01/16/2008
  • Last Update Date: 03/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9436237252
  • Enrollment ID: I20080421000033

Medical Identifiers

Medical identifiers for Samantha Ann Heavrin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770769101NPI-NPPES
0130233MedicaidOH
300005034MedicaidIN
7100035470MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 14577 (Ohio)Secondary
367500000XNurse Anesthetist, Certified Registered 3005537 (Kentucky)Primary
367500000XNurse Anesthetist, Certified Registered 45498 (Kentucky)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jewish Hospital & St Mary's HealthcareLouisville, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Louisville Physicians Inc34767255991111
University Of Louisville Physicians Inc34767255991111

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. Samantha Ann Heavrin allows following entities to bill medicare on her behalf.
Entity NameAnesthesia Care Enterprises Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861450371
PECOS PAC ID: 0840104899
Enrollment ID: O20031114000300
Entity NameAnesthesiology Associates Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164400701
PECOS PAC ID: 6800785742
Enrollment ID: O20040310001540
Entity NameUniversity Of Louisville Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366722316
PECOS PAC ID: 3476725599
Enrollment ID: O20111017000036
Entity NameEnviron Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831438092
PECOS PAC ID: 3870717754
Enrollment ID: O20140616001501
Entity NameAnesthesia Health Consultants
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336528926
PECOS PAC ID: 4688977218
Enrollment ID: O20160114001985
Entity NameLouisville Eye Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932642469
PECOS PAC ID: 6406116185
Enrollment ID: O20180129002738
Entity NameProfessional Anesthesia Services Of Kentucky Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992212807
PECOS PAC ID: 0244590305
Enrollment ID: O20180209000936
Entity NameProvidian Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821654666
PECOS PAC ID: 2264765791
Enrollment ID: O20190614000874

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. Samantha Ann Heavrin 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
Samantha Ann Heavrin, CRNA
Po Box 909,
Louisville, KY 40201-0909

Ph: (502) 588-0328
Samantha Ann Heavrin, CRNA
3920 Dutchmans Ln,
Louisville, KY 40207-4702

Ph: (502) 259-6710

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Louisville, KY

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Mrs. Shelby Victoria Cofer, CRNA
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Mr. Scott M. Beyl, CRNA
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Phone: 502-852-6901    Fax: 502-852-6056
Lauren Elise Coles, CRNA
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Medicare: Accepting Medicare Assignments
Practice Location: 530 S Jackson St, Louisville, KY 40202
Phone: 502-852-1735    Fax: 502-852-6056

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.