Dr Crystal Lenay Mack, CRNA in Marietta, GA - Medicare Certified Registered Nurse Anesthetist (crna)

Dr Crystal Lenay Mack, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Marietta, Georgia. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Premier Anesthesia Of Georgia Llc, Wellstar Medical Group, Llc and her current practice location is 677 Church St Ne, Marietta, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 794-0477.

Dr Crystal Lenay Mack is licensed to practice in Georgia (license number RN258368) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1386216935.

Contact Information

	Dr Crystal Lenay Mack, CRNA
	677 Church St Ne, Marietta, GA 30060-1101
	(770) 794-0477
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Crystal Lenay Mack
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	3 Years
Location	677 Church St Ne, Marietta, Georgia
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Crystal Lenay Mack graduated from nursing school in 2021

NPI Data:

NPI Number: 1386216935
Provider Enumeration Date: 07/13/2021
Last Update Date: 10/14/2021

Medicare PECOS Information:

PECOS PAC ID: 6709275530
Enrollment ID: I20211116001300

Medical Identifiers

Medical identifiers for Dr Crystal Lenay Mack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386216935	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN258358 (Georgia)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	RN258368 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Eastside Medical Center	Snellville, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Premier Anesthesia Of Georgia Llc	6608123724	47
Wellstar Medical Group, Llc	6709065402	1839

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. Dr Crystal Lenay Mack allows following entities to bill medicare on her behalf.

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

Entity Name	Premier Anesthesia Of Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811403207 PECOS PAC ID: 6608123724 Enrollment ID: O20180720001402

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. Dr Crystal Lenay Mack 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
Dr Crystal Lenay Mack, CRNA 1314 Valley View Rd, Atlanta, GA 30338-4823 Ph: (313) 641-9942	Dr Crystal Lenay Mack, CRNA 677 Church St Ne, Marietta, GA 30060-1101 Ph: (770) 794-0477

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Marietta, GA

Devin Horton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477
Mrs. Melissa D. Limonta, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 780 Canton Road, Suite 100, Marietta, GA 30060 Phone: 678-574-0943 Fax: 678-574-0943
Ashley Fitzgerald Hall, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 757-339-9356
Nancy Uhrich, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108
Russell L. Branch Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 531 Roselane St Nw, Suite 830, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108
Brady James Flores Banares, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108
Carolyn M. Watson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2550 Windy Hill Rd Se, Suite 302, Marietta, GA 30067 Phone: 678-574-0943 Fax: 678-574-0943

Dr Crystal Lenay Mack, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Marietta, GA