Samuel Hayward Ellison, CRNA in Coeur D Alene, ID - Medicare Nurse Anesthetist, Certified Registered

Samuel Hayward Ellison, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Coeur D Alene, Idaho. His current practice location is 2003 Kootenai Health Way, Coeur D Alene, Idaho. You can reach out to his office (for appointments etc.) via phone at (509) 432-4529.

Samuel Hayward Ellison is licensed to practice in Kansas (license number 43-557976-071) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1811627250.

Contact Information

	Samuel Hayward Ellison, CRNA
	2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051
	(509) 432-4529
	(208) 765-8486

Map and Direction

Provider's Profile

Full Name	Samuel Hayward Ellison
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	2003 Kootenai Health Way, Coeur D Alene, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811627250
Provider Enumeration Date: 06/16/2022
Last Update Date: 06/16/2022

Medicare PECOS Information:

PECOS PAC ID: 6800279043
Enrollment ID: I20220819002335

Medical Identifiers

Medical identifiers for Samuel Hayward Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811627250	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	43-557976-071 (Kansas)	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. Samuel Hayward Ellison allows following entities to bill medicare on his behalf.

Entity Name	Anesthesia Associates Of Coeur D Alene Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962440966 PECOS PAC ID: 2365427838 Enrollment ID: O20040621000475

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 Hayward Ellison 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 Hayward Ellison, CRNA 1028 Compton Ct, Moscow, ID 83843-8531 Ph: (509) 432-4529	Samuel Hayward Ellison, CRNA 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (509) 432-4529

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Coeur D Alene, ID

Joshua Leppert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-765-8585
Ms. Nuria M Martinez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2204 Ironwood Pl Ste B, Coeur D Alene, ID 83814 Phone: 208-765-8585
Ryan C Golob, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-666-2000
Kevin M Knopp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-4000
Richard J Gerhard, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1705 N Government Way, Coeur D Alene, ID 83814 Phone: 208-765-8585 Fax: 208-765-8486
Joanna M Minetti, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 W Ironwood Dr Ste 250, Coeur D Alene, ID 83814 Phone: 208-765-8585
Trent Munyer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3696 E Sky Harbor Dr, Coeur D Alene, ID 83814 Phone: 208-818-5273

Samuel Hayward Ellison, CRNA - Medicare Nurse Anesthetist, Certified Registered in Coeur D Alene, ID