| Samuel Sama, | |
|
9719 Krier Ct, Converse, TX 78109-1947 | |
| (908) 391-4857 | |
| Not Available |
| Full Name | Samuel Sama |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 9719 Krier Ct, Converse, Texas |
| 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 |
|---|---|---|---|
| 1225382922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 807421 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN289672 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Liberty Regional Medical Center | Hinesville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Services Of Atlanta, Llc | 6406252949 | 2 |
| Sentry Anesthesia Management, Llc | 9436372323 | 203 |
| Entity Name | Coffee Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437120946 PECOS PAC ID: 4587656012 Enrollment ID: O20040402000287 |
| Entity Name | Au Anesthesiology, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831440478 PECOS PAC ID: 0941437842 Enrollment ID: O20131223000682 |
| Entity Name | Sentry Anesthesia Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571 |
| Entity Name | Radius Anesthesia Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861996225 PECOS PAC ID: 2567897127 Enrollment ID: O20200109000552 |
| Entity Name | Anesthesia Services Of Atlanta, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124657465 PECOS PAC ID: 6406252949 Enrollment ID: O20210908001767 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Sama, 9719 Krier Ct, Converse, TX 78109-1947 Ph: (908) 391-4857 | Samuel Sama, 9719 Krier Ct, Converse, TX 78109-1947 Ph: (908) 391-4857 |
Barbara Boemer, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 7915 Brinson Ct, Converse, TX 78109 Phone: 774-836-2530 |