Safira H Iddriss, CRNA in New London, CT - Medicare Certified Registered Nurse Anesthetist (crna)

Safira H Iddriss, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in New London, Connecticut. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Northeast Medical Group Inc, Woodland Anesthesiology Associates, P.c., Albany Medical College and her current practice location is 365 Montauk Ave, New London, Connecticut. You can reach out to her office (for appointments etc.) via phone at (000) 000-0000.

Safira H Iddriss is licensed to practice in Connecticut (license number 7429) 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 1821456989.

Contact Information

	Safira H Iddriss, CRNA
	365 Montauk Ave, New London, CT 06320-4700
	(000) 000-0000
	Not Available

Map and Direction

Provider's Profile

Full Name	Safira H Iddriss
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	7 Years
Location	365 Montauk Ave, New London, Connecticut
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Safira H Iddriss graduated from nursing school in 2017

NPI Data:

NPI Number: 1821456989
Provider Enumeration Date: 02/04/2016
Last Update Date: 09/19/2023

Medicare PECOS Information:

PECOS PAC ID: 2062774466
Enrollment ID: I20180323000653

Medical Identifiers

Medical identifiers for Safira H Iddriss such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821456989	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	7429 (Connecticut)	Primary
163W00000X	Registered Nurse	102169 (Connecticut)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	1056973 (Texas)	Secondary
163W00000X	Registered Nurse	RN2290428 (Massachusetts)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lawrence & Memorial Hospital	New london, CT	Hospital
Albany Medical Center Hospital	Albany, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northeast Medical Group Inc	1254233836	1251
Woodland Anesthesiology Associates, P.c.	8820083652	172
Albany Medical College	1759293111	910

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. Safira H Iddriss allows following entities to bill medicare on her behalf.

Entity Name	Yale University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015

Entity Name	Northeast Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522

Entity Name	Woodland Anesthesiology Associates, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437109824 PECOS PAC ID: 8820083652 Enrollment ID: O20040420000027

Entity Name	Endoscopy Center Of Connecticut, Llc
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1386757854 PECOS PAC ID: 0143226712 Enrollment ID: O20070117000018

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. Safira H Iddriss 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
Safira H Iddriss, CRNA 136 Renee S Way, Guilford, CT 06437-1266 Ph: () -	Safira H Iddriss, CRNA 365 Montauk Ave, New London, CT 06320-4700 Ph: (000) 000-0000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in New London, CT

Judith Ann Mcgannon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 365 Montauk, Lawrence And Memorial Hospital, New London, CT 06320 Phone: 860-442-0711
Tara M Huta, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 Fax: 781-407-0998
Sharon B Gallipeau, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711
Thomas Scott Long, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711
Jolene Marie Oliver, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 206-384-6204
Jana Marlene Ott, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 203-688-0715 Fax: 475-246-9062
Stefanie Guarino, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 365 Montauk Ave, New London, CT 06320 Phone: 860-442-0711 Fax: 781-407-0998

Safira H Iddriss, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in New London, CT