Grant Gundersen, CNRA in Blackfoot, ID - Medicare Certified Registered Nurse Anesthetist (crna)

Grant Gundersen, CNRA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Blackfoot, Idaho. He graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice St Alphonsus Professional Medical Services Llc and his current practice location is 646 W 300 S, Blackfoot, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 760-7529.

Grant Gundersen is licensed to practice in Idaho (license number N-38994) 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 1467863829.

Contact Information

	Grant Gundersen, CNRA
	646 W 300 S, Blackfoot, ID 83221-6334
	(208) 760-7529
	Not Available

Map and Direction

Provider's Profile

Full Name	Grant Gundersen
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	14 Years
Location	646 W 300 S, Blackfoot, Idaho
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:

Grant Gundersen graduated from nursing school in 2012

NPI Data:

NPI Number: 1467863829
Provider Enumeration Date: 05/19/2014
Last Update Date: 05/19/2014

Medicare PECOS Information:

PECOS PAC ID: 9436473972
Enrollment ID: I20150112000202

Medical Identifiers

Medical identifiers for Grant Gundersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467863829	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	N-38994 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Alphonsus Regional Medical Center	Boise, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Alphonsus Professional Medical Services Llc	7214849751	106

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. Grant Gundersen allows following entities to bill medicare on his behalf.

Entity Name	Boise Anesthesia, P A
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487602298 PECOS PAC ID: 8426960642 Enrollment ID: O20031105000132

Entity Name	Anesthesia Associates Of Boise, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033147467 PECOS PAC ID: 2668385287 Enrollment ID: O20031110000655

Entity Name	St Alphonsus Professional Medical Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386677524 PECOS PAC ID: 7214849751 Enrollment ID: O20040205001184

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. Grant Gundersen 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
Grant Gundersen, CNRA 646 W 300 S, Blackfoot, ID 83221-6334 Ph: (208) 760-7529	Grant Gundersen, CNRA 646 W 300 S, Blackfoot, ID 83221-6334 Ph: (208) 760-7529

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Blackfoot, ID

Blake G Purcell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1485 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-5100
Mr. Ryan T Sayre, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-4100
Jed D Hanks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-3830
Brandon K Pieper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-4100
Henry M Adams, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1485 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-5100
Zachary D Morrow, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 98 Poplar St, Blackfoot, ID 83221 Phone: 208-785-4100

Grant Gundersen, CNRA - Medicare Certified Registered Nurse Anesthetist (crna) in Blackfoot, ID