Katelyn E Longacre, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Kennesaw, GA

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Katelyn E Longacre, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Kennesaw, Georgia. She graduated from nursing school in 2013 and has 13 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Wellstar Medical Group Llc, Mak Anesthesia Holdings, Llc, Mak Anesthesia Georgia, Llc and her current practice location is 1300 Ridenour Blvd Nw Ste 300, Kennesaw, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 702-1806.

Katelyn E Longacre is licensed to practice in Georgia (license number RN311144) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1194161158.

Contact Information

Katelyn E Longacre, CRNA
1300 Ridenour Blvd Nw Ste 300,
Kennesaw, GA 30152-4402
(770) 702-1806
(770) 693-0810

Map and Direction




Provider's Profile

Full NameKatelyn E Longacre
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience13 Years
Location1300 Ridenour Blvd Nw Ste 300, Kennesaw, Georgia
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Katelyn E Longacre graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1194161158
  • Provider Enumeration Date: 05/17/2013
  • Last Update Date: 12/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1456593300
  • Enrollment ID: I20220629001587

Medical Identifiers

Medical identifiers for Katelyn E Longacre such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194161158NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN9292268 (Florida)Secondary
367500000XNurse Anesthetist, Certified Registered RN311144 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wellstar Medical Group Llc67090654023059
Mak Anesthesia Holdings, Llc4284917204370
Mak Anesthesia Georgia, Llc7315203718108

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. Katelyn E Longacre allows following entities to bill medicare on her behalf.
Entity NameAmerican Anesthesiology Associates of Georgia LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528068673
PECOS PAC ID: 7618934779
Enrollment ID: O20041210000442
Entity NameMulkey Anesthesiology Associates, PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417288069
PECOS PAC ID: 6406035583
Enrollment ID: O20110120001157
Entity NameWellstar Medical Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374
Entity NameAtlanta Hand Specialist Surgery Center LLC
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1285912923
PECOS PAC ID: 5890952410
Enrollment ID: O20120208000844
Entity NameAhs Anesthesia LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316214604
PECOS PAC ID: 7911169925
Enrollment ID: O20120508000359
Entity NameAtlanta Anesthesia Consultants LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487928370
PECOS PAC ID: 4486818093
Enrollment ID: O20120612000168
Entity NameAhs Surgery Center Canton, LLC
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1225457948
PECOS PAC ID: 6103043377
Enrollment ID: O20140812000706
Entity NameCarpus Surgery Center LLC
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1568864452
PECOS PAC ID: 4688994387
Enrollment ID: O20150520002165
Entity NamePerimeter Anesthesia LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922402445
PECOS PAC ID: 2567763048
Enrollment ID: O20151229001858
Entity NameRadius Surgery Center LLC
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1215302906
PECOS PAC ID: 1456644244
Enrollment ID: O20160802000541
Entity NameMak Anesthesia Holdings, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912452939
PECOS PAC ID: 4284917204
Enrollment ID: O20170216001563
Entity NameUlna Surgery Center LLC
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1881147965
PECOS PAC ID: 8729356977
Enrollment ID: O20170613001165
Entity NameMak Anesthesia Georgia, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609390103
PECOS PAC ID: 7315203718
Enrollment ID: O20171116002499
Entity NameCsp Anesthesia LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568946812
PECOS PAC ID: 6901147206
Enrollment ID: O20190415002910
Entity NameLunate Surgery Center
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1932709490
PECOS PAC ID: 8022427681
Enrollment ID: O20210511002620

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. Katelyn E Longacre 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 AddressPractice Location Address
Katelyn E Longacre, CRNA
1300 Ridenour Blvd Nw Ste 300,
Kennesaw, GA 30152-4402

Ph: (770) 702-1806		Katelyn E Longacre, CRNA
1300 Ridenour Blvd Nw Ste 300,
Kennesaw, GA 30152-4402

Ph: (770) 702-1806

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Kennesaw, GA

Laura Uphouse, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144
Phone: 678-202-2074    Fax: 770-590-1442
Daisy Tambe Jean-pierre, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152
Phone: 770-702-1806    
Jenny R Deforeest, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1640 Airport Rd Nw, Ste. 110, Kennesaw, GA 30144
Phone: 678-202-2074    Fax: 678-290-0479
Dr. Olivier Mba, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3869 Brentview Pl Nw, Kennesaw, GA 30144
Phone: 678-333-1944    
Lauren Turley,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 5003 Barnwood Ter Nw, Kennesaw, GA 30152
Phone: 404-542-0285    
Paul Christopher Dozier, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144
Phone: 678-202-2074    
Jordan Kabase Papp, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152
Phone: 770-702-1806    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.