Samantha Updegrove, CAA - Medicare Anesthesiologist Assistant in Gainesville, GA

Samantha Updegrove, CAA is a medicare enrolled "Anesthesiologist Assistant" in Gainesville, Georgia. Her current practice location is 743 Spring St Ne, Gainesville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 532-7179.

Samantha Updegrove is licensed to practice in Georgia (license number 11912) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1750163341.

Contact Information

Samantha Updegrove, CAA
743 Spring St Ne,
Gainesville, GA 30501-3899
(770) 532-7179
Not Available



Provider's Profile

Full NameSamantha Updegrove
GenderFemale
SpecialityAnesthesiologist Assistant
Location743 Spring St Ne, Gainesville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750163341
  • Provider Enumeration Date: 10/18/2023
  • Last Update Date: 10/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4587011531
  • Enrollment ID: I20231113001878

Medical Identifiers

Medical identifiers for Samantha Updegrove such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750163341NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant 11912 (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. Samantha Updegrove allows following entities to bill medicare on her behalf.
Entity NameAnesthesia Associates Of Gainesville, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457456485
PECOS PAC ID: 2769381771
Enrollment ID: O20040108000009

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› Verified 5 days ago

Entity NameAmbulatory Anesthesia Of North Georgia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497870562
PECOS PAC ID: 9931121332
Enrollment ID: O20051229000181

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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 Updegrove 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 Updegrove, CAA
1488 Jesse Jewell Pkwy Se Ste 201,
Gainesville, GA 30501-3804

Ph: (770) 532-7179
Samantha Updegrove, CAA
743 Spring St Ne,
Gainesville, GA 30501-3899

Ph: (770) 532-7179

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› Verified 5 days ago


Anesthesiologist Assistant Nurses in Gainesville, GA

Amelia Jo Wiggins, CAA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 743 Spring St Ne, Gainesville, GA 30501
Phone: 770-532-7179    
Haley Gibson, CAA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 743 Spring St Ne, Gainesville, GA 30501
Phone: 770-532-7179    
Andrew Bryant, AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 743 Spring St Ne, Gainesville, GA 30501
Phone: 770-532-7179    
Kaitlin Schieman, AAC
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 743 Spring St Ne, Gainesville, GA 30501
Phone: 770-532-7179    Fax: 770-532-7179
John Tavis Mclean, AAC
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 743 Spring St Ne, Gainesville, GA 30501
Phone: 770-532-7179    Fax: 770-534-1312
Jeffrey Walker, AA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 743 Spring St Ne, Gainesville, GA 30501
Phone: 770-532-7179    Fax: 770-534-1312
Jesson Bateman, AAC
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 743 Spring St Ne, Gainesville, GA 30501
Phone: 770-532-7179    Fax: 770-534-1312

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