Zachary Alexander Gradolph, in Decatur, GA - Medicare Certified Registered Nurse Anesthetist (crna)

Zachary Alexander Gradolph, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Decatur, Georgia. He graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Piedmont Anesthesia Llc, Piedmont Anesthesia Associates Llc and his current practice location is 2701 N Decatur Rd, Decatur, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 501-1000.

Zachary Alexander Gradolph is licensed to practice in Georgia (license number RN227950) 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 1649755372.

Contact Information

	Zachary Alexander Gradolph,
	2701 N Decatur Rd, Decatur, GA 30033-5918
	(404) 501-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Zachary Alexander Gradolph
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	7 Years
Location	2701 N Decatur Rd, Decatur, 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:

Zachary Alexander Gradolph graduated from nursing school in 2018

NPI Data:

NPI Number: 1649755372
Provider Enumeration Date: 09/28/2018
Last Update Date: 12/04/2018

Medicare PECOS Information:

PECOS PAC ID: 2264772235
Enrollment ID: I20190329001095

Medical Identifiers

Medical identifiers for Zachary Alexander Gradolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649755372	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN227950 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Piedmont Hospital	Atlanta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Piedmont Anesthesia Llc	2163837972	365
Piedmont Anesthesia Associates Llc	3577457183	248

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. Zachary Alexander Gradolph allows following entities to bill medicare on his behalf.

Entity Name	Piedmont Anesthesia Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407856594 PECOS PAC ID: 3577457183 Enrollment ID: O20040212000604

Entity Name	American Anesthesiology Associates Of Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528068673 PECOS PAC ID: 7618934779 Enrollment ID: O20041210000442

Entity Name	Piedmont Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700474244 PECOS PAC ID: 2163837972 Enrollment ID: O20210208002823

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. Zachary Alexander Gradolph 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
Zachary Alexander Gradolph, 255 Fairfield Cir, Fayetteville, GA 30214-3330 Ph: (404) 405-1423	Zachary Alexander Gradolph, 2701 N Decatur Rd, Decatur, GA 30033-5918 Ph: (404) 501-1000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Decatur, GA

Samantha Wisner Valentini, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2551 Wilson Woods Dr, Decatur, GA 30033 Phone: 770-757-0131
Sara Stelling Jones, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-6111
Ron I Mcdaniel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 678-514-1991 Fax: 678-514-1992
Dorothy Blue Wright, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-6111
Christine Hoefling, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 678-514-1991 Fax: 678-514-1992
Oleg Giren, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 678-514-1991 Fax: 678-514-1992
Natacha Simon-christie, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-778-7408 Fax: 404-778-3238

Zachary Alexander Gradolph, - Medicare Certified Registered Nurse Anesthetist (crna) in Decatur, GA