Samuel Irving, CRNA - Medicare Nurse Anesthetist, Certified Registered in Terre Haute, IN

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Samuel Irving, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Terre Haute, Indiana. His current practice location is 3901 S 7th St, Terre Haute, Indiana. You can reach out to his office (for appointments etc.) via phone at (630) 776-4711.

Samuel Irving is licensed to practice in Indiana (license number 28247851A) 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 1619442613.

Contact Information

Samuel Irving, CRNA
3901 S 7th St,
Terre Haute, IN 47802-5709
(630) 776-4711
Not Available

Map and Direction




Provider's Profile

Full NameSamuel Irving
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location3901 S 7th St, Terre Haute, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619442613
  • Provider Enumeration Date: 10/05/2018
  • Last Update Date: 05/20/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9739414558
  • Enrollment ID: I20190716000821

Medical Identifiers

Medical identifiers for Samuel Irving such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619442613NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 28247851A (Indiana)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 Irving allows following entities to bill medicare on his behalf.
Entity NameBeacon Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033161617
PECOS PAC ID: 1254243306
Enrollment ID: O20031105000657
Entity NameSda Consultants Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336605500
PECOS PAC ID: 3870825912
Enrollment ID: O20210819003335

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 Irving 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
Samuel Irving, CRNA
1978 W 9640 S,
South Jordan, UT 84095-9365

Ph: () -		Samuel Irving, CRNA
3901 S 7th St,
Terre Haute, IN 47802-5709

Ph: (630) 776-4711

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Terre Haute, IN

Robert Lucas Gomez, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3901 S 7th St, Terre Haute, IN 47802
Phone: 812-237-0211    Fax: 812-237-0182
Rebecca Maupin, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3901 S 7th St, Terre Haute, IN 47802
Phone: 812-232-0021    
Dr. Derrianne Michelle Monteiro, DNP, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1421 N 7th St, Terre Haute, IN 47807
Phone: 812-231-4608    Fax: 812-231-4675
Mr. John Nathan Neukam,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3901 S 7th St, Terre Haute, IN 47802
Phone: 812-232-0021    
Dr. Megan Gale Engelman, DNP, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1606 N 7th St, Terre Haute, IN 47804
Phone: 317-902-7309    
Adam Kynaston, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3901 S 7th St, Terre Haute, IN 47802
Phone: 812-232-0021    
Chidimma Nnedimma Offiah, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 3901 S 7th St, Terre Haute, IN 47802
Phone: 812-232-0021    

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.