Samuel Patrick Faunillan Otis, CRNA in St Louis Park, MN

Samuel Patrick Faunillan Otis, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in St Louis Park, Minnesota. His current practice location is 6500 Excelsior Blvd, St Louis Park, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 993-5000.

Samuel Patrick Faunillan Otis is licensed to practice in Minnesota (license number 2287) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619452075.

Contact Information

	Samuel Patrick Faunillan Otis, CRNA
	6500 Excelsior Blvd, St Louis Park, MN 55426-4702
	(952) 993-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Samuel Patrick Faunillan Otis
Gender	Male
Speciality
Experience	Years
Location	6500 Excelsior Blvd, St Louis Park, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Samuel Patrick Faunillan Otis attended and graduated from in

NPI Data:

NPI Number: 1619452075
Provider Enumeration Date: 10/01/2018
Last Update Date: 06/03/2022

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Samuel Patrick Faunillan Otis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619452075	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	2287 (Minnesota)	Primary

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 Patrick Faunillan Otis 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 Patrick Faunillan Otis, CRNA 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () -	Samuel Patrick Faunillan Otis, CRNA 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 Ph: (952) 993-5000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in St Louis Park, MN

Lindsey Marie Knapp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000
Ms. Susan J Bermel, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, Anesthesiology, St Louis Park, MN 55426 Phone: 952-993-5222
Adrienne Backus, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000
Frank A Jirik, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000
Carie Voges, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000
Joseph Stephen Henefield, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5222 Fax: 952-993-6499
Janet Moore, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5222

Samuel Patrick Faunillan Otis, CRNA - Medicare in St Louis Park, MN