Dr Ethan Dickson Graves, RN, CCRN in Memphis, TN - Medicare Certified Registered Nurse Anesthetist (crna)

Dr Ethan Dickson Graves, RN, CCRN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Memphis, Tennessee. He graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Lifelinc Anesthesia Ii, Pllc, Lifelinc Anesthesia Viii Pllc and his current practice location is 5959 Park Ave, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 765-1000.

Dr Ethan Dickson Graves is licensed to practice in Tennessee (license number 37177) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164256913.

Contact Information

	Dr Ethan Dickson Graves, RN, CCRN
	5959 Park Ave, Memphis, TN 38119-5198
	(901) 765-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Ethan Dickson Graves
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	2 Years
Location	5959 Park Ave, Memphis, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Ethan Dickson Graves graduated from nursing school in 2024

NPI Data:

NPI Number: 1164256913
Provider Enumeration Date: 08/26/2024
Last Update Date: 04/02/2026

Medicare PECOS Information:

PECOS PAC ID: 0840725065
Enrollment ID: I20241125004239

Medical Identifiers

Medical identifiers for Dr Ethan Dickson Graves such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164256913	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	37177 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Francis Hospital	Memphis, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lifelinc Anesthesia Ii, Pllc	2668658493	49
Lifelinc Anesthesia Viii Pllc	3173984762	150

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 Ethan Dickson Graves allows following entities to bill medicare on his behalf.

Entity Name	Lifelinc Anesthesia Ii, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821397233 PECOS PAC ID: 2668658493 Enrollment ID: O20110512000311

Entity Name	Lifelinc Anesthesia Viii Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679265052 PECOS PAC ID: 3173984762 Enrollment ID: O20230728002666

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 Ethan Dickson Graves 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
Dr Ethan Dickson Graves, RN, CCRN 5094 Summer Mist Cv, Arlington, TN 38002-4366 Ph: (731) 414-3620	Dr Ethan Dickson Graves, RN, CCRN 5959 Park Ave, Memphis, TN 38119-5198 Ph: (901) 765-1000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Memphis, TN

Michael Fisher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1265 Union Ave, Memphis, TN 38104 Phone: 901-725-5846
Jessica Doran, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 877 Jefferson Ave, Memphis, TN 38103 Phone: 901-448-5893 Fax: 901-448-5893
Carman Hamm, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1755 Kirby Pkwy, Memphis, TN 38120 Phone: 901-725-5846 Fax: 901-726-4827
Kathleen B Weiman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 825 Ridge Lake Blvd, Memphis, TN 38120 Phone: 901-685-6150 Fax: 901-685-6454
Miss Christina Clare Delaughter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 80 Humphreys Center Dr Ste 101, Memphis, TN 38120 Phone: 901-747-3233
Janet Laughlin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6485 Poplar Ave, Memphis, TN 38119 Phone: 901-767-4014
Jennifer Williams, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1755 Kirby Pkwy, Memphis, TN 38120 Phone: 901-725-5846 Fax: 901-726-4827

Dr Ethan Dickson Graves, RN, CCRN - Medicare Certified Registered Nurse Anesthetist (crna) in Memphis, TN