Jared Mckinley Grantham, CRNA in Dothan, AL - Medicare Nurse Anesthetist, Certified Registered

Jared Mckinley Grantham, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Dothan, Alabama. His current practice location is 1108 Ross Clark Cir, Dothan, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 793-8087.

Jared Mckinley Grantham is licensed to practice in Alabama (license number 1-137611) 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 1134464506.

Contact Information

	Jared Mckinley Grantham, CRNA
	1108 Ross Clark Cir, Dothan, AL 36301-3022
	(334) 793-8087
	(334) 793-8191

Map and Direction

Provider's Profile

Full Name	Jared Mckinley Grantham
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1108 Ross Clark Cir, Dothan, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134464506
Provider Enumeration Date: 12/11/2012
Last Update Date: 12/11/2012

Medicare PECOS Information:

PECOS PAC ID: 5193979573
Enrollment ID: I20180316001671

Medical Identifiers

Medical identifiers for Jared Mckinley Grantham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134464506	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	1-137611 (Alabama)	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. Jared Mckinley Grantham allows following entities to bill medicare on his behalf.

Entity Name	Northwest Florida Healthcare, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336163708 PECOS PAC ID: 2668363771 Enrollment ID: O20050627000512

Entity Name	Holmes County Hospital Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366431702 PECOS PAC ID: 3375557887 Enrollment ID: O20101122001377

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. Jared Mckinley Grantham 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
Jared Mckinley Grantham, CRNA Po Box 1928, Dothan, AL 36302-1928 Ph: (334) 793-8087	Jared Mckinley Grantham, CRNA 1108 Ross Clark Cir, Dothan, AL 36301-3022 Ph: (334) 793-8087

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Dothan, AL

Gina L Searcy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8087 Fax: 334-793-8191
Dennis Morrison, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8087 Fax: 334-793-8191
Mr. Patrick Francis Lux, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8765 Fax: 334-678-2864
Mr. Michael Aaron Allen, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4370 W Main St, Dothan, AL 36305 Phone: 334-793-5000
Nola Grubbs, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4370 W Main St, Dothan, AL 36305 Phone: 334-793-5000 Fax: 334-615-8419
Branden Schorr, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-899-8111
Janet Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8087 Fax: 334-793-8191

Jared Mckinley Grantham, CRNA - Medicare Nurse Anesthetist, Certified Registered in Dothan, AL