Mr Tommy Wayne Sampson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Elkhart, IN

Mr Tommy Wayne Sampson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Elkhart, Indiana. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Midwest Anesthesia Providers Sc and his current practice location is 500 N Nappanee St, Suite 11b, Elkhart, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 522-9922.

Mr Tommy Wayne Sampson is licensed to practice in Missouri (license number 2016033441) 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 1730514993.

Contact Information

Mr Tommy Wayne Sampson, CRNA
500 N Nappanee St, Suite 11b,
Elkhart, IN 46514-1503
(574) 522-9922
(574) 522-9926



Provider's Profile

Full NameMr Tommy Wayne Sampson
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience11 Years
Location500 N Nappanee St, Elkhart, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Tommy Wayne Sampson graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1730514993
  • Provider Enumeration Date: 09/06/2013
  • Last Update Date: 02/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6406083583
  • Enrollment ID: I20170418001329

Medical Identifiers

Medical identifiers for Mr Tommy Wayne Sampson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730514993NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 101222 (Nebraska)Secondary
367500000XNurse Anesthetist, Certified Registered 2016033441 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Parkland Health CenterFarmington, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Midwest Anesthesia Providers Sc9830480581139

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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. Mr Tommy Wayne Sampson allows following entities to bill medicare on his behalf.
Entity NameMidwest Anesthesia Providers Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295189082
PECOS PAC ID: 9830480581
Enrollment ID: O20160712001846

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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. Mr Tommy Wayne Sampson 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
Mr Tommy Wayne Sampson, CRNA
500 N Nappanee St, Suite 11b,
Elkhart, IN 46514-1503

Ph: (574) 522-9922
Mr Tommy Wayne Sampson, CRNA
500 N Nappanee St, Suite 11b,
Elkhart, IN 46514-1503

Ph: (574) 522-9922

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Nurse Anesthetist, Certified Registered Nurses in Elkhart, IN

Mr. Taqi Qays Abdu-as-salaam, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 500 N Nappanee St, Suite 11, Elkhart, IN 46514
Phone: 574-522-9922    
Mark Mcpherson, RN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 600 East Blvd, Elkhart, IN 46514
Phone: 574-523-3193    
Ms. Barbara Ann Doherty, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1004 Parkway Ave, Suite B, Elkhart, IN 46516
Phone: 574-522-9922    Fax: 574-522-9926
Naznin Lalani, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 500 N Nappanee, Ste 11b, Elkhart, IN 46514
Phone: 574-522-9922    
Joshua Stewart, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 600 East Blvd, Elkhart, IN 46514
Phone: 574-294-2621    
Lindsay Vasil, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1513 E Jackson Blvd, Elkhart, IN 46516
Phone: 574-523-3193    
Denise Christine Brown, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 600 East Blvd, Elkhart, IN 46514
Phone: 574-523-3193    Fax: 574-523-3463

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