Autumn Samantha Longworth, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Blountville, TN

Autumn Samantha Longworth, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Blountville, Tennessee. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Advanced Anesthesia Solutions Inc and her current practice location is 273 Wine Cir, Blountville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 416-1678.

Autumn Samantha Longworth is licensed to practice in Virginia (license number 0024177740) 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 1386204329.

Contact Information

Autumn Samantha Longworth, CRNA
273 Wine Cir,
Blountville, TN 37617-4315
(423) 416-1678
Not Available



Provider's Profile

Full NameAutumn Samantha Longworth
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience5 Years
Location273 Wine Cir, Blountville, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Autumn Samantha Longworth graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1386204329
  • Provider Enumeration Date: 06/20/2019
  • Last Update Date: 12/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4880921121
  • Enrollment ID: I20200803001628

Medical Identifiers

Medical identifiers for Autumn Samantha Longworth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386204329NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 0024177740 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advanced Anesthesia Solutions Inc731520066422

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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. Autumn Samantha Longworth allows following entities to bill medicare on her behalf.
Entity NameGastroenterology Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770578270
PECOS PAC ID: 4789781048
Enrollment ID: O20070924000124

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Entity NameAdvanced Anesthesia Solutions Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164772109
PECOS PAC ID: 7315200664
Enrollment ID: O20180419000153

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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. Autumn Samantha Longworth 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
Autumn Samantha Longworth, CRNA
Dept 888618,
Knoxville, TN 37995-0001

Ph: (423) 915-9942
Autumn Samantha Longworth, CRNA
273 Wine Cir,
Blountville, TN 37617-4315

Ph: (423) 416-1678

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Nurse Anesthetist, Certified Registered Nurses in Blountville, TN


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