Dr Elvin Mathew Sam, CRNA in Manchester, CT - Medicare Nurse Anesthetist, Certified Registered

Dr Elvin Mathew Sam, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Manchester, Connecticut. His current practice location is 71 Haynes St, Manchester, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 423-7558.

Dr Elvin Mathew Sam is licensed to practice in New York (license number 685847-01) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548830623.

Contact Information

	Dr Elvin Mathew Sam, CRNA
	71 Haynes St, Manchester, CT 06040-4131
	(860) 423-7558
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Elvin Mathew Sam
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	71 Haynes St, Manchester, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548830623
Provider Enumeration Date: 06/30/2021
Last Update Date: 09/13/2022

Medicare PECOS Information:

PECOS PAC ID: 0749665974
Enrollment ID: I20220923000999

Medical Identifiers

Medical identifiers for Dr Elvin Mathew Sam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548830623	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	009820 (Connecticut)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	STUDENT (Connecticut)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	685847-01 (New York)	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. Dr Elvin Mathew Sam allows following entities to bill medicare on his behalf.

Entity Name	Long Island Anesthesia Physicians Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952387276 PECOS PAC ID: 7113825381 Enrollment ID: O20040106000103

Entity Name	North American Partners In Anesthesia Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649264706 PECOS PAC ID: 7719885771 Enrollment ID: O20040108000176

Entity Name	New York University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851456701 PECOS PAC ID: 1355232422 Enrollment ID: O20040329001569

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. Dr Elvin Mathew Sam 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 Address	Practice Location Address
Dr Elvin Mathew Sam, CRNA 775 Mix Ave Apt C, Hamden, CT 06514-2121 Ph: (516) 639-3552	Dr Elvin Mathew Sam, CRNA 71 Haynes St, Manchester, CT 06040-4131 Ph: (860) 423-7558

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Manchester, CT

Peter Lin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 71 Haynes St, Manchester, CT 06040 Phone: 860-646-1222
Mr. William Delgiudice, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 71 Haynes St, Manchester, CT 06040 Phone: 860-646-1222
Roberta M Borden, CRNA MS APRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 953 Main St, Manchester, CT 06040 Phone: 860-649-1550 Fax: 860-649-1091
Patricia Sabia, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 71 Haynes St, Manchester, CT 06040 Phone: 860-649-1550
Karita E Kack, CRNA, MS, APRN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 71 Haynes St, Manchester, CT 06040 Phone: 860-649-1550
Kevin William Abbate, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 71 Haynes St, Manchester, CT 06040 Phone: 860-646-1222

Dr Elvin Mathew Sam, CRNA - Medicare Nurse Anesthetist, Certified Registered in Manchester, CT