Samuel Alan Smith, CRNA | |
4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | |
(573) 596-0035 | |
Not Available |
Full Name | Samuel Alan Smith |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 6 Years |
Location | 4430 Missouri Ave, Fort Leonard Wood, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134605199 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 848542 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Musc Health Lancaster Medical Center | Lancaster, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Chs Anesthesia Services Group Inc | 5799007324 | 548 |
Musc Community Physicians | 6507260668 | 698 |
Entity Name | Novant Health Thomasville Medical Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033160205 PECOS PAC ID: 5890605224 Enrollment ID: O20031222000916 |
Entity Name | Medical Park Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003867516 PECOS PAC ID: 4880595958 Enrollment ID: O20040120000968 |
Entity Name | The Presbyterian Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053365817 PECOS PAC ID: 1153231907 Enrollment ID: O20040223001121 |
Entity Name | Forsyth Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702 |
Entity Name | Novant Health Rowan Medical Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508931544 PECOS PAC ID: 3375452519 Enrollment ID: O20040422001655 |
Entity Name | Novant Health Matthews Medical Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184782419 PECOS PAC ID: 6406845247 Enrollment ID: O20051114000445 |
Entity Name | Presbyterian Sameday Surgery Center At Ballantyne Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1215061049 PECOS PAC ID: 4587759949 Enrollment ID: O20070928000739 |
Entity Name | Presbyterian Sameday Surgery Center At Huntersville Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1063641801 PECOS PAC ID: 8426197971 Enrollment ID: O20100521000450 |
Entity Name | Brunswick Community Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669725198 PECOS PAC ID: 9335150895 Enrollment ID: O20130903000403 |
Entity Name | Chs Anesthesia Services Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346649415 PECOS PAC ID: 5799007324 Enrollment ID: O20141209001856 |
Entity Name | Novant Health Kernersville Outpatient Surgery Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1750892659 PECOS PAC ID: 3870858525 Enrollment ID: O20180530000007 |
Entity Name | Novant Health Mint Hill Medical Center, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063910404 PECOS PAC ID: 8123374394 Enrollment ID: O20181018000540 |
Entity Name | Novant Health Clemmons Outpatient Surgery Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1528521887 PECOS PAC ID: 6103154778 Enrollment ID: O20190820003091 |
Entity Name | Novant Health Ballantyne Medical Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760190607 PECOS PAC ID: 4880065143 Enrollment ID: O20230518003163 |
Mailing Address | Practice Location Address |
---|---|
Samuel Alan Smith, CRNA 18330 Charity Dr, Dixon, MO 65459-8383 Ph: (913) 306-4654 | Samuel Alan Smith, CRNA 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-0035 |
Mr. John Sebastian Wong, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 126 Missouri Ave, Glwach Attn Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524 | |
William Mark Collins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0471 | |
Dr. Benjamin Althuisius, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 | |
Allan Anthony Bolido, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 210-563-9539 | |
Mr. Jimmie Constantine Foster, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 |