Samira Fisayo, in New London, CT - Medicare Certified Registered Nurse Anesthetist (crna)

Samira Fisayo, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in New London, Connecticut. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Northeast Medical Group Inc and her current practice location is 365 Montauk Ave, New London, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 442-0711.

Samira Fisayo is licensed to practice in Connecticut (license number 9774) 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 1740851112.

Contact Information

	Samira Fisayo,
	365 Montauk Ave, New London, CT 06320-4769
	(860) 442-0711
	Not Available

Map and Direction

Provider's Profile

Full Name	Samira Fisayo
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	3 Years
Location	365 Montauk Ave, New London, Connecticut
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Samira Fisayo graduated from nursing school in 2021

NPI Data:

NPI Number: 1740851112
Provider Enumeration Date: 07/07/2021
Last Update Date: 07/07/2021

Medicare PECOS Information:

PECOS PAC ID: 6800291683
Enrollment ID: I20210817000811

Medical Identifiers

Medical identifiers for Samira Fisayo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740851112	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	9774 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lawrence & Memorial Hospital	New london, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northeast Medical Group Inc	1254233836	1244

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. Samira Fisayo allows following entities to bill medicare on her behalf.

Entity Name	Northeast Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522

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. Samira Fisayo 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
Samira Fisayo, 725 Nortontown Rd, Guilford, CT 06437-4728 Ph: (203) 747-9858	Samira Fisayo, 365 Montauk Ave, New London, CT 06320-4769 Ph: (860) 442-0711

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in New London, CT

Judith Ann Mcgannon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 365 Montauk, Lawrence And Memorial Hospital, New London, CT 06320 Phone: 860-442-0711
Tara M Huta, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 Fax: 781-407-0998
Sharon B Gallipeau, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711
Thomas Scott Long, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711
Jolene Marie Oliver, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 206-384-6204
Stefanie Guarino, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 Fax: 781-407-0998
Ekelechi Nwanju, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 973-970-8044

Samira Fisayo, - Medicare Certified Registered Nurse Anesthetist (crna) in New London, CT