| Samantha Jo Stevens, CRNA | |
|
2900 16th St, Bedford, IN 47421-3510 | |
| (812) 276-4378 | |
| (812) 275-1246 |
| Full Name | Samantha Jo Stevens |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 11 Years |
| Location | 2900 16th St, Bedford, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003206962 | NPI | - | NPPES |
| 940070017 | Other | IN | MEDICARE |
| 1102343973 | Other | IN | ANTHEM PTAN |
| 201339310 | Medicaid | IN | |
| 163460043 | Other | IN | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28185263A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health Bedford Hospital | Bedford, IN | Hospital |
| Daviess Community Hospital | Washington, IN | Hospital |
| Indiana University Health | Indianapolis, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Daviess County Hospital | 1557271665 | 55 |
| Indiana University Health Inc | 2365350675 | 68 |
| Indiana University Health Bedford Inc | 2668383092 | 6 |
| Entity Name | Indiana University Health Bedford Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871036962 PECOS PAC ID: 2668383092 Enrollment ID: O20031122000022 |
| Entity Name | Indiana University Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376586719 PECOS PAC ID: 2365350675 Enrollment ID: O20040407000695 |
| Entity Name | Daviess County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619154820 PECOS PAC ID: 1557271665 Enrollment ID: O20040412001435 |
| Entity Name | Indiana University Health Paoli Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457519324 PECOS PAC ID: 2668426016 Enrollment ID: O20050308001174 |
| Entity Name | Daviess County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124231493 PECOS PAC ID: 1557271665 Enrollment ID: O20100420000663 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Jo Stevens, CRNA 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Samantha Jo Stevens, CRNA 2900 16th St, Bedford, IN 47421-3510 Ph: (812) 276-4378 |
Richard Westen Breeding, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2900 16th St, Bedford, IN 47421 Phone: 812-276-4378 Fax: 812-275-1246 | |
Michelle Diane Lower, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2900 W 16th Street, Bedford, IN 47421 Phone: 812-275-1200 Fax: 812-275-1231 | |
Kevin Whelan, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2900 16th St, Bedford, IN 47421 Phone: 812-276-4378 Fax: 812-275-1246 | |
Lyndi R Myers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2900 16th St, Bedford, IN 47421 Phone: 812-276-4378 Fax: 812-275-1246 | |
Mr. Jakob Dillon Burchel, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2900 16th St, Bedford, IN 47421 Phone: 812-276-4378 Fax: 812-275-1246 | |
Mr. Terrance L Kuper, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2900 16th St, Bedford, IN 47421 Phone: 812-275-1200 Fax: 812-275-1212 |