John Samuel Polechetti, CRNA - Medicare Nurse Anesthetist, Certified Registered in Buffalo, NY

John Samuel Polechetti, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Buffalo, New York. His current practice location is 1408 Sweet Home Rd Ste 9, Buffalo, New York. You can reach out to his office (for appointments etc.) via phone at (716) 243-8377.

John Samuel Polechetti is licensed to practice in New York (license number 3315571) 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 1457389868.

Contact Information

John Samuel Polechetti, CRNA
1408 Sweet Home Rd Ste 9,
Buffalo, NY 14228-2783
(716) 243-8377
Not Available

Map and Direction




Provider's Profile

Full NameJohn Samuel Polechetti
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location1408 Sweet Home Rd Ste 9, Buffalo, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457389868
  • Provider Enumeration Date: 06/28/2006
  • Last Update Date: 08/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9032004320
  • Enrollment ID: I20120123000651

Medical Identifiers

Medical identifiers for John Samuel Polechetti such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457389868NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 3315571 (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. John Samuel Polechetti allows following entities to bill medicare on his behalf.
Entity NameNiagara Frontier Anesthesia Services Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962444505
PECOS PAC ID: 8628963915
Enrollment ID: O20040217000016
Entity NameGreat Lakes Surgical Associates, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851574024
PECOS PAC ID: 4486738929
Enrollment ID: O20080222000298

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. John Samuel Polechetti 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
John Samuel Polechetti, CRNA
555 Pine St,
Lockport, NY 14094-5547

Ph: (716) 465-0222
John Samuel Polechetti, CRNA
1408 Sweet Home Rd Ste 9,
Buffalo, NY 14228-2783

Ph: (716) 243-8377

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Buffalo, NY

Cory Herzog, DNP,CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 3495 Bailey Ave, Buffalo, NY 14215
Phone: 716-834-9200    
Miriam Sue Ernst, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 219 Bryant St, Cgf Anesthesia Associates Pc, Buffalo, NY 14222
Phone: 716-878-7444    Fax: 716-878-7316
Ms. Alyssa Harper Miller,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2157 Main St, Buffalo, NY 14214
Phone: 716-836-7510    
Mrs. Carol Devincentis, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2157 Main St, Buffalo, NY 14214
Phone: 716-836-7510    
Mrs. Natalie J Kney, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2157 Main St, Buffalo, NY 14214
Phone: 716-836-7510    Fax: 716-832-3540
Raymond Joseph Masters, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 462 Grider St, Buffalo, NY 14215
Phone: 716-898-3436    
Jeffrey Tinen,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 3495 Bailey Ave, Buffalo, NY 14215
Phone: 716-834-9200    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.