Blaine Fisk, CRNA in Alpharetta, GA - Medicare Certified Registered Nurse Anesthetist (crna)

Blaine Fisk, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Alpharetta, Georgia. He graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice West Idaho Anesthesia, Llp, West Idaho Anesthesia, Llp and his current practice location is 2655 Northwinds Pkwy, Alpharetta, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 643-5619.

Blaine Fisk is licensed to practice in Washington (license number AP61257123) 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 1821758202.

Contact Information

	Blaine Fisk, CRNA
	2655 Northwinds Pkwy, Alpharetta, GA 30009-2280
	(770) 643-5619
	Not Available

Map and Direction

Provider's Profile

Full Name	Blaine Fisk
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	5 Years
Location	2655 Northwinds Pkwy, Alpharetta, Georgia
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Blaine Fisk graduated from nursing school in 2021

NPI Data:

NPI Number: 1821758202
Provider Enumeration Date: 12/27/2021
Last Update Date: 04/28/2022

Medicare PECOS Information:

PECOS PAC ID: 3870989874
Enrollment ID: I20240119002269

Medical Identifiers

Medical identifiers for Blaine Fisk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821758202	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN60701046 (Washington)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	AP61257123 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
West Valley Medical Center	Caldwell, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
West Idaho Anesthesia, Llp	9133343031	12
West Idaho Anesthesia, Llp	9133343031	12

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. Blaine Fisk allows following entities to bill medicare on his behalf.

Entity Name	Anesthesiology Consultants Of Treasure Valley Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124066063 PECOS PAC ID: 4981661196 Enrollment ID: O20041220000096

Entity Name	West Idaho Anesthesia, Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871918318 PECOS PAC ID: 9133343031 Enrollment ID: O20140616001943

Entity Name	Anesthesia Consulting Partners Idaho Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568241362 PECOS PAC ID: 5092164806 Enrollment ID: O20231205002846

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. Blaine Fisk 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
Blaine Fisk, CRNA 1206 Comstock St, Richland, WA 99352-4528 Ph: (208) 741-0447	Blaine Fisk, CRNA 2655 Northwinds Pkwy, Alpharetta, GA 30009-2280 Ph: (770) 643-5619

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Alpharetta, GA

Rae Wood Grimsley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009 Phone: 770-643-5619
Joshua A Getzinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009 Phone: 770-643-5619
Shelby Pope, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009 Phone: 770-643-5619
Monica E Burrell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 Old Milton Pkwy, Alpharetta, GA 30005 Phone: 770-645-9181 Fax: 770-645-8455
Tyrena Burroughs, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009 Phone: 770-643-5619
Roviena J Royulada-ycu, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009 Phone: 770-643-5619
Corey Colley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009 Phone: 770-643-5619

Blaine Fisk, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Alpharetta, GA