Samuel A Southard, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Appleton, WI

Samuel A Southard, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Appleton, Wisconsin. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice New Anesthesiology Sc and his current practice location is 1506 S Oneida St, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 738-2000.

Samuel A Southard is licensed to practice in Wisconsin (license number 167874-30) 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 1033561873.

Contact Information

Samuel A Southard, CRNA
1506 S Oneida St,
Appleton, WI 54915-1305
(920) 738-2000
(920) 224-1706



Provider's Profile

Full NameSamuel A Southard
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience8 Years
Location1506 S Oneida St, Appleton, Wisconsin
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:
  • Samuel A Southard graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1033561873
  • Provider Enumeration Date: 07/05/2016
  • Last Update Date: 07/05/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3870881915
  • Enrollment ID: I20161005002388

Medical Identifiers

Medical identifiers for Samuel A Southard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033561873NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 167874-30 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension Ne Wisconsin - St Elizabeth CampusAppleton, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
New Anesthesiology Sc054726907826

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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. Samuel A Southard allows following entities to bill medicare on his behalf.
Entity NameNew Anesthesiology Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629163894
PECOS PAC ID: 0547269078
Enrollment ID: O20061212000118

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Entity NameRacine Anesthesia Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467782748
PECOS PAC ID: 8628103777
Enrollment ID: O20100316000106

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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 A Southard 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
Samuel A Southard, CRNA
Po Box 8031,
Appleton, WI 54912-8031

Ph: (866) 313-0337
Samuel A Southard, CRNA
1506 S Oneida St,
Appleton, WI 54915-1305

Ph: (920) 738-2000

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Nurse Anesthetist, Certified Registered Nurses in Appleton, WI

Michael Poeschel, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2109 E Capitol Dr Ste B, Appleton, WI 54911
Phone: 844-693-1483    
Angela M. Morey, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1818 N Meade St, Appleton, WI 54911
Phone: 920-731-4101    
Kevin M Hoeksema, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1506 S Oneida St, Appleton, WI 54915
Phone: 920-738-2000    
Ellen M Hambel, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1506 S Oneida St, Appleton, WI 54915
Phone: 920-738-2611    
Shad Winget,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1818 N Meade St, Appleton, WI 54911
Phone: 920-731-4101    
Richard Huntley, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1506 S Oneida St, Appleton, WI 54915
Phone: 920-915-4624    

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