WILLIAM J SUMMERFORD PA-AA
NPI 1962838391
Anesthesiologist Assistant in Macon, GA
NPI Status: Active since September 17, 2013
Contact Information
777 HEMLOCK ST
MSC10
MACON, GA
ZIP 31201
Phone: (866) 507-5244
Fax: (855) 851-4405
- Individual
- Male
- Years of Experience 13
- Anesthesiologist Assistant
- Accepts Insurance
- Accepts Medicare Approved Payment
About WILLIAM SUMMERFORD
This page provides the complete NPI Profile along with additional information for William Summerford, a provider established in Macon, Georgia with a medical specialization in Anesthesiologist Assistant and more than 13 years of experience. The healthcare provider is registered in the NPI registry with number 1962838391 assigned on September 2013. The practitioner's primary taxonomy code is 367H00000X with license number 006961 (GA). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1962838391
- Provider Name
- WILLIAM J SUMMERFORD PA-AA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 777 HEMLOCK ST MSC10 MACON, GA 31201
- Location Phone
- (866) 507-5244
- Location Fax
- (855) 851-4405
- Mailing Address
- PO BOX 551420 FORT LAUDERDALE, FL 33355
- Mailing Phone
- (800) 243-3839
- Mailing Fax
- (855) 851-4405
- Medical School Name
- OTHER
- Graduation Year
- 2013
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-17-2013
- Last Update Date
- 12-15-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Anesthesiologist Assistant
- Taxonomy Code
- 367H00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 006961
- License State
- GA
- Taxonomy Description
- An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue HSA Bronze - PPO
- Blue Protect - PPO
- Blue Saver Bronze - PPO
- Blue Standardized Statewide Silver EPO - EPO
- Blue Statewide Silver EPO - EPO
- Blue Value Gold - PPO
- Blue Value Silver - PPO
- Blue Access Gold for Business - PPO
- Blue Choice Platinum for Business - PPO
- Blue HSA Silver for Business - PPO
- Blue Saver Bronze for Business - PPO
- Blue Saver Gold for Business - PPO
- Blue Secure Gold for Business - PPO
- Blue Secure Silver for Business - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 006961 | OTHER (01) | GA | GA LICENSE |
Medicare Participation & PECOS Enrollment Status
William Summerford is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 4789819962
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20160630000716
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Anesthesia for lens surgery
Anesthesia for other procedure on lower leg, ankle, and foot bones
Anesthesia for other procedure on top of arm bone and shoulder joint
Anesthesia for other procedure or exam of knee joint using an endoscope
Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
This service was performed 22 times for 22 patientsAnesthesia for procedures on lower leg, ankle, and foot bones involves administering medication to block pain and sensation in these areas. This allows doctors to perform necessary treatments or surgeries without causing discomfort. The type of anesthesia used can vary based on the specific procedure.
This service was performed 11 times for 11 patientsAnesthesia for a procedure on the arm bone or shoulder joint involves using medication to numb the area or make you unconscious during surgery. This ensures you feel no pain during the procedure. It's a common and safe practice in medical surgeries.
This service was performed 16 times for 16 patientsAnesthesia for a knee joint procedure or exam using an endoscope involves administering medication to numb the area or put you in a sleep-like state. This ensures you don't feel pain during the procedure. The endoscope, a thin tube with a camera, allows the doctor to view the knee joint internally without making large incisions.
This service was performed 14 times for 14 patientsAnesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.
This service was performed 25 times for 25 patientsReviews for WILLIAM J SUMMERFORD PA-AA
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1962838391, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 69 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MACON, GA 31201
MACON, GA 31201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962838391, enumerated as an "individual" on September 17, 2013.
The provider is located at 777 HEMLOCK ST MSC10 MACON, GA 31201 and the phone number is (866) 507-5244.
Anesthesiologist Assistant with taxonomy code 367H00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama, Medicare. Please consult your insurance carrier or call the provider to verify.