Samuel L Couillard, CRNA - Medicare Nurse Anesthetist, Certified Registered in Lenoir City, TN

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Samuel L Couillard, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lenoir City, Tennessee. His current practice location is 550 Fort Loudoun Medical Center Dr, Lenoir City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (952) 442-9770.

Samuel L Couillard is licensed to practice in Tennessee (license number RN43073) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679560429.

Contact Information

Samuel L Couillard, CRNA
550 Fort Loudoun Medical Center Dr,
Lenoir City, TN 37772-5673
(952) 442-9770
Not Available

Map and Direction




Provider's Profile

Full NameSamuel L Couillard
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location550 Fort Loudoun Medical Center Dr, Lenoir City, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679560429
  • Provider Enumeration Date: 10/05/2005
  • Last Update Date: 07/13/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9234121047
  • Enrollment ID: I20040401000432

Medical Identifiers

Medical identifiers for Samuel L Couillard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679560429NPI-NPPES
3633144MedicaidTN
4072021OtherTNBLUE CROSS OF TENNESSEE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN43073 (Tennessee)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. Samuel L Couillard allows following entities to bill medicare on his behalf.
Entity NameNovamed Surgery Center of Chattanooga, LLC
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1801890173
PECOS PAC ID: 3779472253
Enrollment ID: O20040312000613
Entity NameSweetwater Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629077532
PECOS PAC ID: 6608773775
Enrollment ID: O20040518001141

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. Samuel L Couillard 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
Samuel L Couillard, CRNA
233 W 1st St,
Waconia, MN 55387-1302

Ph: (952) 442-9770		Samuel L Couillard, CRNA
550 Fort Loudoun Medical Center Dr,
Lenoir City, TN 37772-5673

Ph: (952) 442-9770

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Lenoir City, TN

Holly Connor, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1130 Timber Ridge Dr, Lenoir City, TN 37771
Phone: 504-352-7219    
Mr. Johnny Keith Barnes Jr., MSN-CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 550 Fort Loudoun Medical Center Drive, Lenoir City, TN 37772
Phone: 865-777-0909    Fax: 865-777-0910
Mr. Kenneth Zalewski, MSN- CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 550 Fort Loudoun Medical Center Drive, Lenoir City, TN 37772
Phone: 865-777-0909    Fax: 865-777-0910
Mrs. Linda L Vekasi, MSN- CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 550 Fort Loudoun Medical Center Drive, Lenoir City, TN 37772
Phone: 865-777-0909    Fax: 865-777-0910
Karen Jane Phillips-wilson, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 124 Lake Crest Dr, Lenoir City, TN 37772
Phone: 865-986-4405    
Mr. Paul Roger Backus, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 550 Fort Loudoun Medical Center Drive, Lenoir City, TN 37772
Phone: 865-777-0909    Fax: 865-777-0910
Mr. Phillip K Haynie, MSN- CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 550 Fort Loudoun Medical Center Drive, Lenoir City, TN 37772
Phone: 865-777-0909    Fax: 865-777-0910

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.