Mckenzie Louis Samuelson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in South Weymouth, MA

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Mckenzie Louis Samuelson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in South Weymouth, Massachusetts. He graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice The Medical College Of Wisconsin Inc and his current practice location is 55 Fogg Rd, South Weymouth, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (781) 624-8000.

Mckenzie Louis Samuelson is licensed to practice in Texas (license number 1210439) 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 1932831716.

Contact Information

Mckenzie Louis Samuelson, CRNA
55 Fogg Rd,
South Weymouth, MA 02190-2432
(781) 624-8000
Not Available

Map and Direction




Provider's Profile

Full NameMckenzie Louis Samuelson
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience2 Years
Location55 Fogg Rd, South Weymouth, Massachusetts
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:
  • Mckenzie Louis Samuelson graduated from nursing school in 2023
  NPI Data:
  • NPI Number: 1932831716
  • Provider Enumeration Date: 06/29/2022
  • Last Update Date: 10/31/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6507224946
  • Enrollment ID: I20241224000303

Medical Identifiers

Medical identifiers for Mckenzie Louis Samuelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932831716NPI-NPPES
1932831716MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 15894 (Wisconsin)Secondary
367500000XNurse Anesthetist, Certified Registered 1210439 (Texas)Primary
367500000XNurse Anesthetist, Certified Registered RN2341474 (Massachusetts)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Froedtert Memorial Lutheran HospitalMilwaukee, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Medical College Of Wisconsin Inc26683843711902

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. Mckenzie Louis Samuelson allows following entities to bill medicare on his behalf.
Entity NameThe Medical College Of Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699720086
PECOS PAC ID: 2668384371
Enrollment ID: O20031120000259

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. Mckenzie Louis Samuelson 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
Mckenzie Louis Samuelson, CRNA
285 Hancock St Apt 1403,
Quincy, MA 02171-2478

Ph: (616) 240-7552		Mckenzie Louis Samuelson, CRNA
55 Fogg Rd,
South Weymouth, MA 02190-2432

Ph: (781) 624-8000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in South Weymouth, MA

Kerry Ana Vittum, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 55 Fogg Rd, South Weymouth, MA 02190
Phone: 781-624-8000    
Tara Marie Steele, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 55 Fogg Rd, South Weymouth, MA 02190
Phone: 781-624-8000    
Julia Mancuso,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 55 Fogg Rd, South Weymouth, MA 02190
Phone: 781-624-8000    

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.