Ted Masao Ikari, CRNA in Alpharetta, GA - Medicare Certified Registered Nurse Anesthetist (crna)

Ted Masao Ikari, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Alpharetta, Georgia. He graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Main Street Anesthesia Of New Mexico, Llc and his current practice location is 2575 Northwinds Pkwy, Alpharetta, Georgia. You can reach out to his office (for appointments etc.) via phone at (808) 255-4455.

Ted Masao Ikari is licensed to practice in Ohio (license number 145029) 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 1659093342.

Contact Information

	Ted Masao Ikari, CRNA
	2575 Northwinds Pkwy, Alpharetta, GA 30009-2232
	(808) 255-4455
	Not Available

Map and Direction

Provider's Profile

Full Name	Ted Masao Ikari
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	4 Years
Location	2575 Northwinds Pkwy, Alpharetta, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ted Masao Ikari graduated from nursing school in 2022

NPI Data:

NPI Number: 1659093342
Provider Enumeration Date: 09/19/2022
Last Update Date: 09/19/2022

Medicare PECOS Information:

PECOS PAC ID: 3274904206
Enrollment ID: I20241126004440

Medical Identifiers

Medical identifiers for Ted Masao Ikari such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659093342	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	145029 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lovelace Medical Center	Albuquerque, NM	Hospital
Lovelace Women's Hospital	Albuquerque, NM	Hospital
Lovelace Westside Hospital	Albuquerque, NM	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Main Street Anesthesia Of New Mexico, Llc	3476807538	167

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. Ted Masao Ikari allows following entities to bill medicare on his behalf.

Entity Name	Main Street Anesthesia Of New Mexico, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275010985 PECOS PAC ID: 3476807538 Enrollment ID: O20181108002622

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. Ted Masao Ikari 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
Ted Masao Ikari, CRNA Po Box 129, Honomu, HI 96728-0129 Ph: (808) 255-4455	Ted Masao Ikari, CRNA 2575 Northwinds Pkwy, Alpharetta, GA 30009-2232 Ph: (808) 255-4455

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

Ted Masao Ikari, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Alpharetta, GA