| Emmanuel Samedi, CRNA | |
|
100 S Bliss Ave, Tahlequah, OK 74464-2512 | |
| (918) 458-3115 | |
| Not Available |
| Full Name | Emmanuel Samedi |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 100 S Bliss Ave, Tahlequah, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174862783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R108099 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alliancehealth Durant | Durant, OK | Hospital |
| Baylor Scott And White Surgical Hospital At Sherma | Sherman, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cherokee Nation | 5799698742 | 369 |
| Texas Ams Pllc | 9133441769 | 78 |
| Anesthesia Management Solutions Of Oklahoma Pllc | 7618219213 | 7 |
| Entity Name | Cherokee Nation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
| Entity Name | Cherokee Nation |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1669628707 PECOS PAC ID: 5799698742 Enrollment ID: O20090302000149 |
| Entity Name | Texas Ams Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174926125 PECOS PAC ID: 9133441769 Enrollment ID: O20141209001912 |
| Mailing Address | Practice Location Address |
|---|---|
| Emmanuel Samedi, CRNA 100 S Bliss Ave, Tahlequah, OK 74464-2512 Ph: (918) 458-3115 | Emmanuel Samedi, CRNA 100 S Bliss Ave, Tahlequah, OK 74464-2512 Ph: (918) 458-3115 |
Emily Zoglman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 | |
Riley James English, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 E Downing St, Tahlequah, OK 74464 Phone: 918-456-0641 | |
David Alan Forsythe, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 Fax: 918-458-3511 | |
William George Worthington, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 Fax: 918-458-3511 | |
Brian Stears, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100 | |
Sean Wayne Poe, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3115 Fax: 918-458-3511 |