Steven D Sample Jr, CRNA is a medicare enrolled "Anesthesiology - Critical Care Medicine" in Orlando, Florida. He graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice The Emory Clinic Inc and his current practice location is
225 E Robinson St, Suite 130, Orlando, Florida. You can reach out to his office (for appointments etc.) via phone at
(407) 581-9180.
Steven D Sample Jr is licensed to practice in Georgia (license number 220350) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639610330.
Provider's Profile
| Full Name | Steven D Sample Jr |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 9 Years |
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| Location | 225 E Robinson St, Orlando, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Steven D Sample Jr graduated from nursing school in 2017
NPI Data:
- NPI Number: 1639610330
- Provider Enumeration Date: 03/14/2017
- Last Update Date: 02/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 7113204504
- Enrollment ID: I20240509001104
Medical Identifiers
Medical identifiers for Steven D Sample Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639610330 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | ARNP9387609 (Florida) | Secondary |
| 207LC0200X | Anesthesiology - Critical Care Medicine | 220350 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| The Emory Clinic Inc | 8820901408 | 3507 |
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. Steven D Sample Jr allows following entities to bill medicare on his behalf.
| Entity Name | The Emory Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396798229
PECOS PAC ID: 8820901408
Enrollment ID: O20031110000503 |
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| Entity Name | Emory Specialty Associates, LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407864168
PECOS PAC ID: 3476559782
Enrollment ID: O20061010000447 |
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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. Steven D Sample Jr 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 |
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Steven D Sample Jr, CRNA
Po Box 4918,
Orlando, FL 32802-4918
Ph: (407) 581-9180 | Steven D Sample Jr, CRNA
225 E Robinson St, Suite 130,
Orlando, FL 32801-4322
Ph: (407) 581-9180 |
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