Larette Denise Jackson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Atlanta, GA

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Larette Denise Jackson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Atlanta, Georgia. She graduated from nursing school in 1998 and has 26 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Concordia Anesthesiology Inc and her current practice location is 2451 Cumberland Pkwy Se, Ste #3414, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (832) 283-7792.

Larette Denise Jackson is licensed to practice in Georgia (license number RN104440) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1952360851.

Contact Information

Larette Denise Jackson, CRNA
2451 Cumberland Pkwy Se, Ste #3414,
Atlanta, GA 30339-6136
(832) 283-7792
Not Available

Map and Direction




Provider's Profile

Full NameLarette Denise Jackson
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience26 Years
Location2451 Cumberland Pkwy Se, Atlanta, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Larette Denise Jackson graduated from nursing school in 1998
  NPI Data:
  • NPI Number: 1952360851
  • Provider Enumeration Date: 03/20/2006
  • Last Update Date: 02/18/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 7214821925
  • Enrollment ID: I20040301000590

Medical Identifiers

Medical identifiers for Larette Denise Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952360851NPI-NPPES
000887928MedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN104440 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Concordia Anesthesiology Inc832517288562

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. Larette Denise Jackson allows following entities to bill medicare on her behalf.
Entity NameNorth Fulton Anesthesia Associates, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467445262
PECOS PAC ID: 7113914466
Enrollment ID: O20040428000839
Entity NameAhp Of Georgia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467400481
PECOS PAC ID: 4082683412
Enrollment ID: O20041001000098
Entity NameGreater Anesthesia Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518128289
PECOS PAC ID: 7810064029
Enrollment ID: O20080930000033
Entity NameAnesthesia Plus Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609028174
PECOS PAC ID: 2264589704
Enrollment ID: O20090420000556
Entity NameConcordia Anesthesiology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619296464
PECOS PAC ID: 8325172885
Enrollment ID: O20100819000220
Entity NameMulkey Anesthesiology Associates, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417288069
PECOS PAC ID: 6406035583
Enrollment ID: O20110120001157
Entity NameOracle Anesthesia Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629350566
PECOS PAC ID: 5395918098
Enrollment ID: O20111025000313
Entity NameAnesthesia Consultants Of Georgia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760752430
PECOS PAC ID: 0345400313
Enrollment ID: O20120328000888
Entity NameXenon Anesthesia Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366865123
PECOS PAC ID: 5597081067
Enrollment ID: O20150226001972
Entity NameGreater Atlanta Anesthesia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285043158
PECOS PAC ID: 7315264645
Enrollment ID: O20150326000819
Entity NameExcalibur Anesthesia Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679933774
PECOS PAC ID: 4284930793
Enrollment ID: O20160309002234
Entity NamePain Physicians Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194287763
PECOS PAC ID: 8426384736
Enrollment ID: O20190724002940
Entity NameRadius Anesthesia Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861996225
PECOS PAC ID: 2567897127
Enrollment ID: O20200109000552

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. Larette Denise Jackson 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
Larette Denise Jackson, CRNA
2451 Cumberland Pkwy Se, Ste #3414,
Atlanta, GA 30339-6136

Ph: (770) 596-3498		Larette Denise Jackson, CRNA
2451 Cumberland Pkwy Se, Ste #3414,
Atlanta, GA 30339-6136

Ph: (832) 283-7792

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Atlanta, GA

Hannah L Steele, CRNA
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Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342
Phone: 770-645-9181    Fax: 770-645-8455
Susan C. Osgood, CRNA
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Lynnon Leana Connerly, CRNA
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Mrs. Shani G Johnson, CRNA
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Phone: 404-351-1745    Fax: 404-351-7121
Vivian S. Fontenot, CRNA
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Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342
Phone: 770-645-9181    Fax: 770-645-8455
Charita Merchant, CRNA
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Practice Location: 1968 Peachtree Rd Nw, Atlanta, GA 30309
Phone: 678-216-0771    
Caitlin Quigley, CRNA
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Practice Location: 1405 Clifton Rd Ne, Atlanta, GA 30322
Phone: 404-785-5437    

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.