Mr Kendall Mark Broome, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Buford, GA

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Mr Kendall Mark Broome, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Buford, Georgia. He graduated from nursing school in 2001 and has 25 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Lake Lanier Anesthesia Associates Llc, Gsg Anesthesia Llc and his current practice location is 2334 Sparta Way Ste 200, Buford, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 997-2151.

Mr Kendall Mark Broome is licensed to practice in Georgia (license number RN 135213) 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 1932157484.

Contact Information

Mr Kendall Mark Broome, CRNA
2334 Sparta Way Ste 200,
Buford, GA 30519-2001
(678) 997-2151
Not Available

Map and Direction




Provider's Profile

Full NameMr Kendall Mark Broome
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience25 Years
Location2334 Sparta Way Ste 200, Buford, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Kendall Mark Broome graduated from nursing school in 2001
  NPI Data:
  • NPI Number: 1932157484
  • Provider Enumeration Date: 05/05/2006
  • Last Update Date: 01/09/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2062420805
  • Enrollment ID: I20060405000225

Medical Identifiers

Medical identifiers for Mr Kendall Mark Broome such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932157484NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN 135213 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lake Lanier Anesthesia Associates Llc40820616357
Gsg Anesthesia Llc539513327610

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. Mr Kendall Mark Broome allows following entities to bill medicare on his behalf.
Entity NameGastroenterology Anesthesia Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942563242
PECOS PAC ID: 3779730080
Enrollment ID: O20120821000929
Entity NameGi Anesthesia Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326569187
PECOS PAC ID: 0446516769
Enrollment ID: O20171102000283
Entity NameAnesthesia Dynamics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20200508002106
Entity NameGsg Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184294761
PECOS PAC ID: 5395133276
Enrollment ID: O20211026001780
Entity NameLake Lanier Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003443722
PECOS PAC ID: 4082061635
Enrollment ID: O20231103002222
Entity NameOconee River Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992325641
PECOS PAC ID: 9739536145
Enrollment ID: O20231107001362

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. Mr Kendall Mark Broome 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
Mr Kendall Mark Broome, CRNA
Po Box 740209, Dept 1041,
Atlanta, GA 30374-0209

Ph: () -		Mr Kendall Mark Broome, CRNA
2334 Sparta Way Ste 200,
Buford, GA 30519-2001

Ph: (678) 997-2151

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Buford, GA

Joshua Scott Newby, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 298 N Hill St, Buford, GA 30518
Phone: 901-550-8691    

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.