Blaine Fisk, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Alpharetta, GA

Blaine Fisk, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Alpharetta, Georgia. He went to Florida State University College Of Medicine and graduated in 2021 and has 3 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesia Consulting Partners Idaho Pc and his current practice location is 2655 Northwinds Pkwy, Alpharetta, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 643-5619.

Blaine Fisk is licensed to practice in Washington (license number AP61257123) 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 1821758202.

Contact Information

Blaine Fisk, CRNA
2655 Northwinds Pkwy,
Alpharetta, GA 30009-2280
(770) 643-5619
Not Available



Provider's Profile

Full NameBlaine Fisk
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience3 Years
Location2655 Northwinds Pkwy, Alpharetta, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Blaine Fisk attended and graduated from Florida State University College Of Medicine in 2021
  NPI Data:
  • NPI Number: 1821758202
  • Provider Enumeration Date: 12/27/2021
  • Last Update Date: 04/28/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3870989874
  • Enrollment ID: I20240119002269

Medical Identifiers

Medical identifiers for Blaine Fisk such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821758202NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN60701046 (Washington)Secondary
367500000XNurse Anesthetist, Certified Registered AP61257123 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
West Valley Medical CenterCaldwell, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Anesthesia Consulting Partners Idaho Pc509216480615

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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. Blaine Fisk allows following entities to bill medicare on his behalf.
Entity NameAnesthesia Consulting Partners Idaho Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568241362
PECOS PAC ID: 5092164806
Enrollment ID: O20231205002846

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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. Blaine Fisk 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
Blaine Fisk, CRNA
1206 Comstock St,
Richland, WA 99352-4528

Ph: (208) 741-0447
Blaine Fisk, CRNA
2655 Northwinds Pkwy,
Alpharetta, GA 30009-2280

Ph: (770) 643-5619

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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    
Montez Charmara Badger, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009
Phone: 770-522-1890    

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