Mr Samuel Ervin Dixon, CRNA in Tripler Army Medical Center, HI - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Samuel Ervin Dixon, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tripler Army Medical Center, Hawaii. He graduated from nursing school in 1989 and has 35 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Novaspine Pain Institute Plc and his current practice location is 1 Jarrett White Rd, Tripler Army Medical Center, Hawaii. You can reach out to his office (for appointments etc.) via phone at (808) 433-4857.

Mr Samuel Ervin Dixon is licensed to practice in California (license number 2479) 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 1245219310.

Contact Information

	Mr Samuel Ervin Dixon, CRNA
	1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001
	(808) 433-4857
	(808) 433-4857

Map and Direction

Provider's Profile

Full Name	Mr Samuel Ervin Dixon
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	35 Years
Location	1 Jarrett White Rd, Tripler Army Medical Center, Hawaii
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Samuel Ervin Dixon graduated from nursing school in 1989

NPI Data:

NPI Number: 1245219310
Provider Enumeration Date: 01/17/2006
Last Update Date: 07/01/2008

Medicare PECOS Information:

PECOS PAC ID: 8729155965
Enrollment ID: I20170705001762

Medical Identifiers

Medical identifiers for Mr Samuel Ervin Dixon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245219310	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	2479 (California)	Primary
367500000X	Nurse Anesthetist, Certified Registered	APRN907 (Hawaii)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Novaspine Pain Institute Plc	9931323359	20

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. Mr Samuel Ervin Dixon allows following entities to bill medicare on his behalf.

Entity Name	Atlantis Medical Group Az Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740610039 PECOS PAC ID: 7214168368 Enrollment ID: O20140402002039

Entity Name	Integrated Anesthesia Consultants Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144645656 PECOS PAC ID: 2264664549 Enrollment ID: O20140421001511

Entity Name	Novaspine Pain Institute Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154745263 PECOS PAC ID: 9931323359 Enrollment ID: O20140630000941

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. Mr Samuel Ervin Dixon 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
Mr Samuel Ervin Dixon, CRNA I Jarrett White Road, Tamc, Honolulu, HI 96859-7747 Ph: (808) 433-4857	Mr Samuel Ervin Dixon, CRNA 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 Ph: (808) 433-4857

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Tripler Army Medical Center, HI

Kari L Rodden, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-4130
Michael David Smithers, CRNA, DNAP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-321-2748
Jacob L Deeds, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-7699
Mr. James D. Maliszewskyj, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd Rm 6g804, Tripler Army Medical Center, HI 96859 Phone: 808-433-6451
Dr. Shantall Ruiz Cummins, DNP Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 888-683-2778
Jennifer Wertz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-655-6651

Mr Samuel Ervin Dixon, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Tripler Army Medical Center, HI