Byron Anderson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fairburn, Georgia. His current practice location is
5885 Bluegrass Vw, Fairburn, Georgia. You can reach out to his office (for appointments etc.) via phone at
(404) 748-2698.
Byron Anderson is licensed to practice in Georgia (license number RN199166) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780052704.
Provider's Profile
Full Name | Byron Anderson |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 5885 Bluegrass Vw, Fairburn, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780052704
- Provider Enumeration Date: 09/08/2015
- Last Update Date: 09/08/2015
Medicare PECOS Information:
- PECOS PAC ID: 5294044707
- Enrollment ID: I20160225000526
Medical Identifiers
Medical identifiers for Byron Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780052704 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | RN199166 (Georgia) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | AP128939 (Texas) | Secondary |
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. Byron Anderson allows following entities to bill medicare on his behalf.
Entity Name | Grady Memorial Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311 |
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Entity Name | Sleep Ezzy |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154852820 PECOS PAC ID: 4486920295 Enrollment ID: O20171023003067 |
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Entity Name | Anesthesia Surgical Consultants Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427587435 PECOS PAC ID: 3072868959 Enrollment ID: O20180618001140 |
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Entity Name | Radius Anesthesia Of Georgia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861996225 PECOS PAC ID: 2567897127 Enrollment ID: O20200109000552 |
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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. Byron Anderson 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 |
Byron Anderson, CRNA 5885 Bluegrass Vw, Fairburn, GA 30213-4735 Ph: (404) 748-2698 | Byron Anderson, CRNA 5885 Bluegrass Vw, Fairburn, GA 30213-4735 Ph: (404) 748-2698 |
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