Olasunkanmi Samuel Adesemoye, - Medicare Certified Registered Nurse Anesthetist (crna) in Travis Afb, CA

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Olasunkanmi Samuel Adesemoye, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Travis Afb, California. He graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). His current practice location is 60 Mdg/ Sgcj, 101 Bodin Circle, Travis Afb, California. You can reach out to his office (for appointments etc.) via phone at (707) 423-3000.

Olasunkanmi Samuel Adesemoye is licensed to practice in California (license number 95002699) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1225761463.

Contact Information

Olasunkanmi Samuel Adesemoye,
60 Mdg/ Sgcj, 101 Bodin Circle,
Travis Afb, CA 94535-1809
(707) 423-3000
Not Available

Map and Direction




Provider's Profile

Full NameOlasunkanmi Samuel Adesemoye
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience1 Years
Location60 Mdg/ Sgcj, Travis Afb, California
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Olasunkanmi Samuel Adesemoye graduated from nursing school in 2025
  NPI Data:
  • NPI Number: 1225761463
  • Provider Enumeration Date: 07/06/2022
  • Last Update Date: 10/09/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9638653256
  • Enrollment ID: I20260323000540

Medical Identifiers

Medical identifiers for Olasunkanmi Samuel Adesemoye such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225761463NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC0200XRegistered Nurse - Critical Care Medicine 95287646 (California)Secondary
367500000XNurse Anesthetist, Certified Registered 95002699 (California)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. Olasunkanmi Samuel Adesemoye allows following entities to bill medicare on his behalf.
Entity NameSutter Valley Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669846986
PECOS PAC ID: 9830094515
Enrollment ID: O20090311000335
Entity NameSutter Valley Medical Foundation
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1457593980
PECOS PAC ID: 9830094515
Enrollment ID: O20090916000833
Entity NameSutter Valley Medical Foundation
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1972877264
PECOS PAC ID: 9830094515
Enrollment ID: O20130222000306
Entity NameSutter Valley Medical Foundation
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1467825844
PECOS PAC ID: 9830094515
Enrollment ID: O20160223001845
Entity NameSutter Valley Medical Foundation
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1346615150
PECOS PAC ID: 9830094515
Enrollment ID: O20160311000780
Entity NameGreen Anesthesia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457039331
PECOS PAC ID: 6103270566
Enrollment ID: O20231004000338
Entity NameSedaze Anesthesia Consultants a Professional Nursing Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366209629
PECOS PAC ID: 1557708021
Enrollment ID: O20240319003683

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. Olasunkanmi Samuel Adesemoye 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
Olasunkanmi Samuel Adesemoye,
60 Mdg/ Sgcj, 101 Bodin Circle,
Travis Afb, CA 94535-1809

Ph: Not Available		Olasunkanmi Samuel Adesemoye,
60 Mdg/ Sgcj, 101 Bodin Circle,
Travis Afb, CA 94535-1809

Ph: (707) 423-3000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Travis Afb, CA

Mr. Jerry Edward Glattfelt, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 100 Bodin Cir, 60 Th Msgs/sgcsa, Travis Afb, CA 94535
Phone: 707-423-5370    
Mr. David Lee Perkins, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 708-423-3589    
Michael Millar, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-3339    
Jorge Montequin, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-3339    
Shawna Mills Greiner, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-3583    
Gregory John Miles, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-3605    
Michael Fusaro, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-3339    

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.