Randy Graham, CRNA in Fort Belvoir, VA - Medicare Nurse Anesthetist, Certified Registered

Randy Graham, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Belvoir, Virginia. His current practice location is 9300 Dewitt Loop, Fort Belvoir, Virginia. You can reach out to his office (for appointments etc.) via phone at (571) 231-3224.

Randy Graham is licensed to practice in Texas (license number 929159) 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
	9300 Dewitt Loop, Fort Belvoir, VA 22060-5285
	(571) 231-3224
	Not Available

Map and Direction

Provider's Profile

Full Name	Randy Graham
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	9300 Dewitt Loop, Fort Belvoir, Virginia
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: 08/01/2022

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	929159 (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

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 18602 Cabin Rd, Triangle, VA 22172-1504 Ph: (970) 290-4027	Randy Graham, CRNA 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 Ph: (571) 231-3224

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fort Belvoir, VA

Mrs. Constance Louise Jenkins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-2890
Mrs. Connie Jean Moore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9501 Farrell Rd, Fort Belvoir, VA 22060 Phone: 703-805-0004
Mr. Vincent Bernard Bogan, MSN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9501 Farrell Rd, Dewitt Army Community Hospital, Fort Belvoir, VA 22060 Phone: 703-805-0342 Fax: 703-805-0731
Jacob Macgregor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9300 Dewit Loop, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 Phone: 571-231-4578
Mrs. Cathy Elizabeth Peuterbaugh, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Us Army Medical Dept, 9501 Farrell Rd, Fort Belvoir, VA 22060 Phone: 703-805-0923
Chris Noel Angeles, CRNA, MSN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9300 Dewitt Loop, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 Phone: 571-231-3224

Randy Graham, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fort Belvoir, VA