Samantha Updegrove, CAA in Gainesville, GA - Medicare Anesthesiologist Assistant

Samantha Updegrove, CAA is a medicare enrolled "Anesthesiologist Assistant" in Gainesville, Georgia. Her current practice location is 743 Spring St Ne, Gainesville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 532-7179.

Samantha Updegrove is licensed to practice in Georgia (license number 11912) 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 1750163341.

Contact Information

	Samantha Updegrove, CAA
	743 Spring St Ne, Gainesville, GA 30501-3899
	(770) 532-7179
	Not Available

Map and Direction

Provider's Profile

Full Name	Samantha Updegrove
Gender	Female
Speciality	Anesthesiologist Assistant
Location	743 Spring St Ne, Gainesville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750163341
Provider Enumeration Date: 10/18/2023
Last Update Date: 10/18/2023

Medicare PECOS Information:

PECOS PAC ID: 4587011531
Enrollment ID: I20231113001878

Medical Identifiers

Medical identifiers for Samantha Updegrove such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750163341	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367H00000X	Anesthesiologist Assistant	11912 (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. Samantha Updegrove allows following entities to bill medicare on her behalf.

Entity Name	Anesthesia Associates Of Gainesville, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457456485 PECOS PAC ID: 2769381771 Enrollment ID: O20040108000009

Entity Name	Ambulatory Anesthesia Of North Georgia, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497870562 PECOS PAC ID: 9931121332 Enrollment ID: O20051229000181

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 Updegrove 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
Samantha Updegrove, CAA 1488 Jesse Jewell Pkwy Se Ste 201, Gainesville, GA 30501-3804 Ph: (770) 532-7179	Samantha Updegrove, CAA 743 Spring St Ne, Gainesville, GA 30501-3899 Ph: (770) 532-7179

Reviews and Comments

Anesthesiologist Assistant Nurses in Gainesville, GA

Amelia Jo Wiggins, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-532-7179
Haley Gibson, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-532-7179
Andrew Bryant, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-532-7179
Kaitlin Byrd, AAC Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-532-7179 Fax: 770-532-7179
John Tavis Mclean, AAC Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-532-7179 Fax: 770-534-1312
Jeffrey Walker, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-532-7179 Fax: 770-534-1312
Jesson Bateman, AAC Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-532-7179 Fax: 770-534-1312

Samantha Updegrove, CAA - Medicare Anesthesiologist Assistant in Gainesville, GA