Dr Grant Adam Doornbos, MD - Medicare Anesthesiology in Kennesaw, GA

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Dr Grant Adam Doornbos, MD is a medicare enrolled "Anesthesiology" physician in Kennesaw, Georgia. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Mak Anesthesia Holdings, Llc and his current practice location is 1300 Ridenour Blvd Nw Ste 300, Kennesaw, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 702-1806.

Dr Grant Adam Doornbos is licensed to practice in Georgia (license number 069398) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1376785600.

Contact Information

Dr Grant Adam Doornbos, MD
1300 Ridenour Blvd Nw Ste 300,
Kennesaw, GA 30152-4402
(770) 702-1806
Not Available

Map and Direction




Physician's Profile

Full NameDr Grant Adam Doornbos
GenderMale
SpecialityAnesthesiology
Experience15 Years
Location1300 Ridenour Blvd Nw Ste 300, Kennesaw, Georgia
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Grant Adam Doornbos graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1376785600
  • Provider Enumeration Date: 04/01/2009
  • Last Update Date: 03/28/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7214177328
  • Enrollment ID: I20130715000334

Medical Identifiers

Medical identifiers for Dr Grant Adam Doornbos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376785600NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 069398 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellstar Cobb HospitalAustell, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mak Anesthesia Holdings, Llc4284917204167

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 Grant Adam Doornbos allows following entities to bill medicare on his behalf.
Entity NameMountainside Anesthesia Consultants, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346327152
PECOS PAC ID: 2365430899
Enrollment ID: O20040504000685
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, Nw Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609202720
PECOS PAC ID: 4880820315
Enrollment ID: O20131111001715
Entity NameMak Anesthesia Decatur Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720409147
PECOS PAC ID: 8224261433
Enrollment ID: O20140423001687
Entity NameMak Anesthesia Tch, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730549676
PECOS PAC ID: 5890092910
Enrollment ID: O20160404001912
Entity NameMak Anesthesia Holdings, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912452939
PECOS PAC ID: 4284917204
Enrollment ID: O20170216001563
Entity NameFortis Health, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659960276
PECOS PAC ID: 8325446305
Enrollment ID: O20211005002270

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 Grant Adam Doornbos 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
Dr Grant Adam Doornbos, MD
3804 Glengarry Way Ne,
Roswell, GA 30075-2615

Ph: (404) 245-3687		Dr Grant Adam Doornbos, MD
1300 Ridenour Blvd Nw Ste 300,
Kennesaw, GA 30152-4402

Ph: (770) 702-1806

Reviews and Comments


Anesthesiology Doctors in Kennesaw, GA

Russell H Blocker, PAAA
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 1640 Airport Rd Nw, Ste. 110, Kennesaw, GA 30144
Phone: 678-202-2074    Fax: 678-290-0479
Walter H Butler, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144
Phone: 678-202-2074    Fax: 770-590-1442
Melody Bolton,
Anesthesiology
Medicare: May Accept Medicare Assignments
Practice Location: 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152
Phone: 985-722-7993    
James Michael Ditolla, D.O.
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 1275 Shiloh Rd Nw Ste 2120, Kennesaw, GA 30144
Phone: 631-671-1194    
Edward T Scruggs, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144
Phone: 678-202-2074    Fax: 770-590-1442
Dr. Isabella Zita Ricketts, M.D.
Anesthesiology
Medicare: May Accept Medicare Assignments
Practice Location: 1300 Ridenour Blvd Nw, Mak Anesthesia, Kennesaw, GA 30152
Phone: 770-702-1806    Fax: 770-693-0810

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.