Susan Ghodrat, CRNA in Alpharetta, GA - Medicare Certified Registered Nurse Anesthetist (crna)

Susan Ghodrat, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Alpharetta, Georgia. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Smg Anesthesia Specialists Llc, Old Dominion Anesthesia Llc, Old Dominion Anesthesia Llc and her current practice location is 2655 Northwinds Pkwy, Alpharetta, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 690-7804.

Susan Ghodrat is licensed to practice in Virginia (license number 0001260445) 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 1891455184.

Contact Information

	Susan Ghodrat, CRNA
	2655 Northwinds Pkwy, Alpharetta, GA 30009-2280
	(678) 690-7804
	Not Available

Map and Direction

Provider's Profile

Full Name	Susan Ghodrat
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	5 Years
Location	2655 Northwinds Pkwy, Alpharetta, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Susan Ghodrat graduated from nursing school in 2021

NPI Data:

NPI Number: 1891455184
Provider Enumeration Date: 12/28/2021
Last Update Date: 05/16/2022

Medicare PECOS Information:

PECOS PAC ID: 5597143271
Enrollment ID: I20220608002395

Medical Identifiers

Medical identifiers for Susan Ghodrat such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891455184	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	0001260445 (Virginia)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	0001260445 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sentara Northern Virginia Medical Center	Woodbridge, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Smg Anesthesia Specialists Llc	6305081118	235
Old Dominion Anesthesia Llc	8820462765	47
Old Dominion Anesthesia Llc	8820462765	47

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. Susan Ghodrat allows following entities to bill medicare on her behalf.

Entity Name	Smg Anesthesia Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518205004 PECOS PAC ID: 6305081118 Enrollment ID: O20130327000494

Entity Name	Premier Anesthesia Of Virginia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255986147 PECOS PAC ID: 1951722362 Enrollment ID: O20200610001253

Entity Name	Surgical Anesthesia Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811930647 PECOS PAC ID: 5890739205 Enrollment ID: O20230130001161

Entity Name	Old Dominion Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902248677 PECOS PAC ID: 8820462765 Enrollment ID: O20230316001226

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. Susan Ghodrat 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
Susan Ghodrat, CRNA 1788 N Pierce St Apt 508, Arlington, VA 22209-2525 Ph: () -	Susan Ghodrat, CRNA 2655 Northwinds Pkwy, Alpharetta, GA 30009-2280 Ph: (678) 690-7804

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Alpharetta, GA

Rae Wood Grimsley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009 Phone: 770-643-5619
Joshua A Getzinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009 Phone: 770-643-5619
Shelby Pope, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009 Phone: 770-643-5619
Monica E Burrell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 Old Milton Pkwy, Alpharetta, GA 30005 Phone: 770-645-9181 Fax: 770-645-8455
Tyrena Burroughs, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009 Phone: 770-643-5619
Roviena J Royulada-ycu, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009 Phone: 770-643-5619
Corey Colley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009 Phone: 770-643-5619

Susan Ghodrat, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Alpharetta, GA