Randy Graham, CRNA in San Antonio, TX - Medicare Nurse Anesthetist, Certified Registered

Randy Graham, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in San Antonio, Texas. His current practice location is 7946 N Loop 1604 W, San Antonio, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 567-9100.

Randy Graham is licensed to practice in Texas (license number 1089180) 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 1417683483.

Contact Information

	Randy Graham, CRNA
	7946 N Loop 1604 W, San Antonio, TX 78249-5174
	(210) 567-9100
	(210) 450-2165

Map and Direction

Provider's Profile

Full Name	Randy Graham
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	7946 N Loop 1604 W, San Antonio, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417683483
Provider Enumeration Date: 08/01/2022
Last Update Date: 10/21/2024

Medicare PECOS Information:

PECOS PAC ID: 3870942766
Enrollment ID: I20231218003588

Medical Identifiers

Medical identifiers for Randy Graham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417683483	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	1089180 (Texas)	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. Randy Graham allows following entities to bill medicare on his behalf.

Entity Name	Austin Anesthesiology Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598724304 PECOS PAC ID: 0547256497 Enrollment ID: O20040424000086

Entity Name	The University Of Texas Health Science Center At San Antonio
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720051717 PECOS PAC ID: 0042128548 Enrollment ID: O20040607000664

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. Randy Graham 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
Randy Graham, CRNA 7946 N Loop 1604 W, San Antonio, TX 78249-5174 Ph: (210) 567-9100	Randy Graham, CRNA 7946 N Loop 1604 W, San Antonio, TX 78249-5174 Ph: (210) 567-9100

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in San Antonio, TX

Daniel Travis Hart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7703 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-567-0811
Mrs. Claire Leleux Beadle, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000 Fax: 210-358-4911
Nnenna Awagu, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-567-4500
Mrs. Sherilyn Kaye Medina, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000
Brent Duffield, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, San Antonio, TX 78234 Phone: 210-916-9100
Mizraim Gomez, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-0572
Stephanie Elise Williams, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 11212 Highway 151, San Antonio, TX 78251 Phone: 210-703-8000

Randy Graham, CRNA - Medicare Nurse Anesthetist, Certified Registered in San Antonio, TX