Dorothy Lee Summerlin- Grady, CRNA in Indianapolis, IN - Medicare Nurse Anesthetist, Certified Registered

Dorothy Lee Summerlin- Grady, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Indianapolis, Indiana. Her current practice location is 8051 S Emerson Ave Ste 150, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 865-2955.

Dorothy Lee Summerlin- Grady is licensed to practice in Indiana (license number 28151003C) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336192376.

Contact Information

	Dorothy Lee Summerlin- Grady, CRNA
	8051 S Emerson Ave Ste 150, Indianapolis, IN 46237-8635
	(317) 865-2955
	(317) 865-2954

Map and Direction

Provider's Profile

Full Name	Dorothy Lee Summerlin- Grady
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	8051 S Emerson Ave Ste 150, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336192376
Provider Enumeration Date: 05/19/2006
Last Update Date: 12/14/2023

Medicare PECOS Information:

PECOS PAC ID: 5890609770
Enrollment ID: I20040917000249

Medical Identifiers

Medical identifiers for Dorothy Lee Summerlin- Grady such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336192376	NPI	-	NPPES
200425840	Medicaid	IN
2436813	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	303499 (Ohio)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	28151003C (Indiana)	Primary

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. Dorothy Lee Summerlin- Grady allows following entities to bill medicare on her behalf.

Entity Name	Midwest Gastroenterology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528550241 PECOS PAC ID: 5092051896 Enrollment ID: O20190116001102

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. Dorothy Lee Summerlin- Grady 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
Dorothy Lee Summerlin- Grady, CRNA 5955 Claybourne Dr, Bargersville, IN 46106-8391 Ph: (317) 966-5576	Dorothy Lee Summerlin- Grady, CRNA 8051 S Emerson Ave Ste 150, Indianapolis, IN 46237-8635 Ph: (317) 865-2955

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Indianapolis, IN

Robert Beyerlein, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7150 Clearvista Dr, Indianapolis, IN 46256 Phone: 317-621-5890 Fax: 317-621-7884
Kyley Struck, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7150 Clearvista Dr, Indianapolis, IN 46256 Phone: 317-621-5890
Samantha L Dugan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Ave, Indianapolis, IN 46202 Phone: 317-274-0275
John Patrick Haltom, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-274-0275
Greg Daley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7150 Clearvista Dr, Indianapolis, IN 46256 Phone: 317-621-5890
Dr. Sydney Ann Bramlett, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7150 Clearvista Dr, Indianapolis, IN 46256 Phone: 317-621-5890
Michelo Andrew Chikonka, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-577-4200 Fax: 317-577-4200

Dorothy Lee Summerlin- Grady, CRNA - Medicare Nurse Anesthetist, Certified Registered in Indianapolis, IN