Samuel Sama, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Converse, Texas. His current practice location is
9719 Krier Ct, Converse, Texas. You can reach out to his office (for appointments etc.) via phone at
(908) 391-4857.
Samuel Sama is licensed to practice in Georgia (license number RN289672) 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 1225382922.
Provider's Profile
| Full Name | Samuel Sama |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 9719 Krier Ct, Converse, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1225382922
- Provider Enumeration Date: 11/01/2012
- Last Update Date: 06/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 3577986033
- Enrollment ID: I20200701000783
Medical Identifiers
Medical identifiers for Samuel Sama such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225382922 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 807421 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN289672 (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. Samuel Sama allows following entities to bill medicare on his behalf.
| Entity Name | Coffee Regional Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437120946
PECOS PAC ID: 4587656012
Enrollment ID: O20040402000287 |
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| Entity Name | Hospital Authority Of Liberty County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326079260
PECOS PAC ID: 5799772190
Enrollment ID: O20040428000377 |
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| Entity Name | Au Anesthesiology, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831440478
PECOS PAC ID: 0941437842
Enrollment ID: O20131223000682 |
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| Entity Name | Radius Anesthesia Of Georgia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861996225
PECOS PAC ID: 2567897127
Enrollment ID: O20200109000552 |
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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 Sama 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 Sama,
9719 Krier Ct,
Converse, TX 78109-1947
Ph: (908) 391-4857 | Samuel Sama,
9719 Krier Ct,
Converse, TX 78109-1947
Ph: (908) 391-4857 |
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