Miss Samantha Elizabeth Polikowski, RN - Medicare Certified Registered Nurse Anesthetist (crna) in Boston, MA

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Miss Samantha Elizabeth Polikowski, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Boston, Massachusetts. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Innovative Anesthesia Consultants Pc, Southern California Gastroenterology Anesthesia Specia and her current practice location is 55 Fruit St, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 724-4910.

Miss Samantha Elizabeth Polikowski is licensed to practice in California (license number 95001608) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194134114.

Contact Information

Miss Samantha Elizabeth Polikowski, RN
55 Fruit St,
Boston, MA 02114-2621
(617) 724-4910
Not Available

Map and Direction




Provider's Profile

Full NameMiss Samantha Elizabeth Polikowski
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience8 Years
Location55 Fruit St, Boston, Massachusetts
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Miss Samantha Elizabeth Polikowski graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1194134114
  • Provider Enumeration Date: 08/04/2014
  • Last Update Date: 03/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6204122435
  • Enrollment ID: I20211109001739

Medical Identifiers

Medical identifiers for Miss Samantha Elizabeth Polikowski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194134114NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC0200XRegistered Nurse - Critical Care Medicine 2267172 (Massachusetts)Secondary
367500000XNurse Anesthetist, Certified Registered 95001608 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Innovative Anesthesia Consultants Pc36788231763
Southern California Gastroenterology Anesthesia Specia11536385724

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. Miss Samantha Elizabeth Polikowski allows following entities to bill medicare on her behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678
Entity NameRegents Of The University Of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265535702
PECOS PAC ID: 3577476761
Enrollment ID: O20040102000635
Entity NameSouthern California Gastroenterology Anesthesia Specia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073997359
PECOS PAC ID: 1153638572
Enrollment ID: O20150917001780
Entity NameLa Jolla Anesthesia Associates, Lp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649717737
PECOS PAC ID: 3678850567
Enrollment ID: O20170502001302
Entity NameEscondido Anesthesia Associates Lp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588151120
PECOS PAC ID: 5799034518
Enrollment ID: O20180827003365
Entity NameInnovative Anesthesia Consultants Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154815264
PECOS PAC ID: 3678823176
Enrollment ID: O20180904002744

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. Miss Samantha Elizabeth Polikowski 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
Miss Samantha Elizabeth Polikowski, RN
Po Box 232410,
San Diego, CA 92193-2410

Ph: () -		Miss Samantha Elizabeth Polikowski, RN
55 Fruit St,
Boston, MA 02114-2621

Ph: (617) 724-4910

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Boston, MA

Mr. John Crawford Welch, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 300 Longwood Ave, Bader 3- Anesthesia, Boston, MA 02115
Phone: 857-218-5770    
Sophia N. Townsend, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1 Boston Medical Ctr Pl, Boston, MA 02118
Phone: 617-638-6950    Fax: 617-638-6966
Lorrie-jeanne Campbell, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 330 Brookline Ave, Dept. Of Anesthesia, Boston, MA 02215
Phone: 617-667-3110    Fax: 617-667-5013
Colleen Mcartor, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 750 Washington St, Nemc Box #7105, Boston, MA 02111
Phone: 617-636-5000    
Ms. Ann Marie Nichols-stout, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 55 Fruit St, Massachusetts General Hospital, Boston, MA 02114
Phone: 617-726-8995    
Susan Maher, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 55 Fruit Street, Cln 309 Mgh Anesthesia Associates, Boston, MA 02114
Phone: 617-726-3030    
Amy T. Moor, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1 Boston Medical Ctr Pl, Boston, MA 02118
Phone: 617-638-6950    Fax: 617-638-6966

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.