Samantha Anderson, - Medicare Certified Registered Nurse Anesthetist (crna) in Provo, UT

Samantha Anderson, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Provo, Utah. She went to University Of Pittsburgh School Of Medicine and graduated 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 Mountain West Anesthesia Llc and her current practice location is 1034 N 500 W, Provo, Utah. You can reach out to her office (for appointments etc.) via phone at (608) 695-0168.

Samantha Anderson is licensed to practice in Utah (license number 12727407-4406) 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 1144868605.

Contact Information

Samantha Anderson,
1034 N 500 W,
Provo, UT 84604-3380
(608) 695-0168
Not Available



Provider's Profile

Full NameSamantha Anderson
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience5 Years
Location1034 N 500 W, Provo, Utah
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:
  • Samantha Anderson attended and graduated from University Of Pittsburgh School Of Medicine in 2019
  NPI Data:
  • NPI Number: 1144868605
  • Provider Enumeration Date: 12/16/2019
  • Last Update Date: 03/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3577991587
  • Enrollment ID: I20220801000239

Medical Identifiers

Medical identifiers for Samantha Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144868605NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 12727407-4406 (Utah)Primary
163W00000XRegistered Nurse RN690124 (Pennsylvania)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Utah Valley HospitalProvo, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mountain West Anesthesia Llc9032018502248

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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. Samantha Anderson allows following entities to bill medicare on her behalf.
Entity NameMountain West Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558391763
PECOS PAC ID: 9032018502
Enrollment ID: O20040103000057

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Entity NameUniversity Of Utah Adult Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114321981
PECOS PAC ID: 0941525273
Enrollment ID: O20150209001683

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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. Samantha Anderson 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
Samantha Anderson,
2462 N Alesund Way,
Lehi, UT 84043-5449

Ph: (608) 695-0168
Samantha Anderson,
1034 N 500 W,
Provo, UT 84604-3380

Ph: (608) 695-0168

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› Verified 8 days ago


Nurse Anesthetist, Certified Registered Nurses in Provo, UT

Sarah Ward Barnaby, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1034 N 500 W, Provo, UT 84604
Phone: 801-727-2056    Fax: 770-701-6675
Rodney L Fisher, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 320 River Park Dr Ste 125, Provo, UT 84604
Phone: 801-375-8049    Fax: 801-374-9195
Chase Bazil, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1900 N State St Ste 105, Provo, UT 84604
Phone: 801-655-5245    
Shelby Lyn Beck,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1067 N 500 W, Provo, UT 84604
Phone: 801-374-0354    
Joyce Westphal, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 585 N 500 W, Provo, UT 84601
Phone: 801-375-0983    Fax: 801-375-0988
Dirk Bradley Bahoravitch, MSN, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1067 N 500 W, Provo, UT 84604
Phone: 801-374-0354    

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