Mrs Marquetta Dionne Butler, RN, CRNA (PENDING) - Medicare Certified Registered Nurse Anesthetist (crna) in Kennesaw, GA

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Mrs Marquetta Dionne Butler, RN, CRNA (PENDING) is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Kennesaw, Georgia. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Greater Anesthesia Services Llc, Mulkey Anesthesiology Associates, Pc and her current practice location is 1635 Old 41 Hwy Nw, Suite 112-328, Kennesaw, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 732-3664.

Mrs Marquetta Dionne Butler is licensed to practice in Georgia (license number RN176690) 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 1598104408.

Contact Information

Mrs Marquetta Dionne Butler, RN, CRNA (PENDING)
1635 Old 41 Hwy Nw, Suite 112-328,
Kennesaw, GA 30152-4480
(770) 732-3664
Not Available

Map and Direction




Provider's Profile

Full NameMrs Marquetta Dionne Butler
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience11 Years
Location1635 Old 41 Hwy Nw, Kennesaw, Georgia
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Marquetta Dionne Butler graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1598104408
  • Provider Enumeration Date: 06/25/2013
  • Last Update Date: 06/25/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 4284878778
  • Enrollment ID: I20130924000385

Medical Identifiers

Medical identifiers for Mrs Marquetta Dionne Butler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598104408NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN176690 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Greater Anesthesia Services Llc781006402916
Mulkey Anesthesiology Associates, Pc640603558324

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. Mrs Marquetta Dionne Butler allows following entities to bill medicare on her behalf.
Entity NameGreater Anesthesia Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518128289
PECOS PAC ID: 7810064029
Enrollment ID: O20080930000033
Entity NameMulkey Anesthesiology Associates, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417288069
PECOS PAC ID: 6406035583
Enrollment ID: O20110120001157
Entity NameMak Anesthesia Cobb Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699045070
PECOS PAC ID: 7810154960
Enrollment ID: O20120201000868
Entity NameMak Anesthesia Holdings, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912452939
PECOS PAC ID: 4284917204
Enrollment ID: O20170216001563

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. Mrs Marquetta Dionne Butler 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
Mrs Marquetta Dionne Butler, RN, CRNA (PENDING)
28110 Dovewood Ct, Apt. 303,
Bonita Springs, FL 34135-2885

Ph: (678) 908-4946		Mrs Marquetta Dionne Butler, RN, CRNA (PENDING)
1635 Old 41 Hwy Nw, Suite 112-328,
Kennesaw, GA 30152-4480

Ph: (770) 732-3664

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Kennesaw, GA

Laura Uphouse, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144
Phone: 678-202-2074    Fax: 770-590-1442
Daisy Tambe Jean-pierre, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152
Phone: 770-702-1806    
Katelyn E Longacre, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152
Phone: 770-702-1806    Fax: 770-693-0810
Jenny R Deforeest, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1640 Airport Rd Nw, Ste. 110, Kennesaw, GA 30144
Phone: 678-202-2074    Fax: 678-290-0479
Dr. Olivier Mba, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 3869 Brentview Pl Nw, Kennesaw, GA 30144
Phone: 678-333-1944    
Lauren Turley,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 5003 Barnwood Ter Nw, Kennesaw, GA 30152
Phone: 404-542-0285    
Paul Christopher Dozier, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144
Phone: 678-202-2074    

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.