Samiha Fatayer, AA in Grafton, WI - Medicare Anesthesiologist Assistant

Samiha Fatayer, AA is a medicare enrolled "Anesthesiologist Assistant" in Grafton, Wisconsin. Her current practice location is 975 Port Washington Rd, Grafton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 329-1000.

Samiha Fatayer is licensed to practice in Wisconsin (license number 555) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1609605021.

Contact Information

	Samiha Fatayer, AA
	975 Port Washington Rd, Grafton, WI 53024-9201
	(262) 329-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Samiha Fatayer
Gender	Female
Speciality	Anesthesiologist Assistant
Location	975 Port Washington Rd, Grafton, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609605021
Provider Enumeration Date: 08/01/2024
Last Update Date: 11/06/2024

Medicare PECOS Information:

PECOS PAC ID: 9436690708
Enrollment ID: I20240926002140

Medical Identifiers

Medical identifiers for Samiha Fatayer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609605021	NPI	-	NPPES
100288924	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367H00000X	Anesthesiologist Assistant	555 (Wisconsin)	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. Samiha Fatayer allows following entities to bill medicare on her behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

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. Samiha Fatayer 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
Samiha Fatayer, AA Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250	Samiha Fatayer, AA 975 Port Washington Rd, Grafton, WI 53024-9201 Ph: (262) 329-1000

Reviews and Comments

Anesthesiologist Assistant Nurses in Grafton, WI

Natasha Voves, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000
Mr. Hector Sierra Escobedo, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000 Fax: 414-385-1590
Kara Rose Kohlmann, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000
Boyd Joseph Decker, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000
Peter George Andrew, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000
Umbreen Anum Iqbal, CAA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000

Samiha Fatayer, AA - Medicare Anesthesiologist Assistant in Grafton, WI