Zackary Jake Whitaker, CRNA - Medicare Nurse Anesthetist, Certified Registered in Forsyth, GA

  1. Home
  2. Nurse Anesthetist - CR
  3. GA
  4. Forsyth
Zackary Jake Whitaker, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Forsyth, Georgia. His current practice location is 47 Indian Springs Dr, Forsyth, Georgia. You can reach out to his office (for appointments etc.) via phone at (888) 728-0882.

Zackary Jake Whitaker is licensed to practice in Georgia (license number RN188133) 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 1518204486.

Contact Information

Zackary Jake Whitaker, CRNA
47 Indian Springs Dr,
Forsyth, GA 31029-2077
(888) 728-0882
(478) 974-0110

Map and Direction




Provider's Profile

Full NameZackary Jake Whitaker
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location47 Indian Springs Dr, Forsyth, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518204486
  • Provider Enumeration Date: 01/11/2013
  • Last Update Date: 01/11/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 5395980270
  • Enrollment ID: I20130325000424

Medical Identifiers

Medical identifiers for Zackary Jake Whitaker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518204486NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN188133 (Georgia)Secondary
367500000XNurse Anesthetist, Certified Registered RN188133 (Georgia)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. Zackary Jake Whitaker allows following entities to bill medicare on his behalf.
Entity NameTift Regional Health System, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790280857
PECOS PAC ID: 5193619971
Enrollment ID: O20040212000064
Entity NameValdosta Anesthesia Associates, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134148208
PECOS PAC ID: 0941296636
Enrollment ID: O20040420001277
Entity NameSweet Dreams Nurse Anesthesia, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649463365
PECOS PAC ID: 5294823266
Enrollment ID: O20071109000111
Entity NamePhoebe Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487899464
PECOS PAC ID: 8426112350
Enrollment ID: O20090121000583
Entity NameSynergy Anesthesiology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003040502
PECOS PAC ID: 4385781954
Enrollment ID: O20091030000317
Entity NameNmda Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306123336
PECOS PAC ID: 7113193541
Enrollment ID: O20120105000663
Entity NameSweet Dreams Nurse Anesthesiology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891005989
PECOS PAC ID: 1658568621
Enrollment ID: O20120525000211
Entity NameSweet Dreams Anesthesiology Nurses Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669737409
PECOS PAC ID: 0941456446
Enrollment ID: O20120816000621
Entity NameSweet Dreams Nurse Anesthesia Of Georgia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003168923
PECOS PAC ID: 7719138353
Enrollment ID: O20121108000271
Entity NameSentry Anesthesia Management, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134544794
PECOS PAC ID: 9436372323
Enrollment ID: O20140521002571
Entity NameRadiance Anesthesia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194381236
PECOS PAC ID: 5890116032
Enrollment ID: O20200526003208
Entity NameVision Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134740319
PECOS PAC ID: 0648691592
Enrollment ID: O20210428000240

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. Zackary Jake Whitaker 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 AddressPractice Location Address
Zackary Jake Whitaker, CRNA
234 Ed Taylor Rd,
Sparks, GA 31647-4335

Ph: (229) 392-0757		Zackary Jake Whitaker, CRNA
47 Indian Springs Dr,
Forsyth, GA 31029-2077

Ph: (888) 728-0882

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Forsyth, GA

Dr. Jonathan Brinser, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 40 Lee King Rd, Forsyth, GA 31029
Phone: 478-397-6429    
Rene Michelle Claxton, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 5777 Ga Highway 42 N, Forsyth, GA 31029
Phone: 478-320-2986    
Chelsey Coneway, DNP
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 170 Homestead Cir, Forsyth, GA 31029
Phone: 478-960-5236    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.