Grant Gundersen, CNRA - Medicare Certified Registered Nurse Anesthetist (crna) in Blackfoot, ID

Grant Gundersen, CNRA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Blackfoot, Idaho. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesia Associates Of Boise, P.a., Boise Anesthesia, P A and his current practice location is 646 W 300 S, Blackfoot, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 760-7529.

Grant Gundersen is licensed to practice in Idaho (license number N-38994) 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 1467863829.

Contact Information

Grant Gundersen, CNRA
646 W 300 S,
Blackfoot, ID 83221-6334
(208) 760-7529
Not Available



Provider's Profile

Full NameGrant Gundersen
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience12 Years
Location646 W 300 S, Blackfoot, Idaho
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:
  • Grant Gundersen graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1467863829
  • Provider Enumeration Date: 05/19/2014
  • Last Update Date: 05/19/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 9436473972
  • Enrollment ID: I20150112000202

Medical Identifiers

Medical identifiers for Grant Gundersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467863829NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered N-38994 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Regional Medical CenterBoise, IDHospital
Saint Alphonsus Regional Medical CenterBoise, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Anesthesia Associates Of Boise, P.a.2668385287153
Boise Anesthesia, P A842696064252

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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. Grant Gundersen allows following entities to bill medicare on his behalf.
Entity NameBoise Anesthesia, P A
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487602298
PECOS PAC ID: 8426960642
Enrollment ID: O20031105000132

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Entity NameAnesthesia Associates Of Boise, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033147467
PECOS PAC ID: 2668385287
Enrollment ID: O20031110000655

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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. Grant Gundersen 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
Grant Gundersen, CNRA
646 W 300 S,
Blackfoot, ID 83221-6334

Ph: (208) 760-7529
Grant Gundersen, CNRA
646 W 300 S,
Blackfoot, ID 83221-6334

Ph: (208) 760-7529

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Nurse Anesthetist, Certified Registered Nurses in Blackfoot, ID

Blake G Purcell, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1485 Parkway Dr, Blackfoot, ID 83221
Phone: 208-785-5100    
Mr. Ryan T Sayre, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 98 Poplar St, Blackfoot, ID 83221
Phone: 208-785-4100    
Jed D Hanks, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 98 Poplar St, Blackfoot, ID 83221
Phone: 208-785-3830    
Brandon K Pieper, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 98 Poplar St, Blackfoot, ID 83221
Phone: 208-785-4100    
Henry M Adams, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1485 Parkway Dr, Blackfoot, ID 83221
Phone: 208-785-5100    
Zachary D Morrow,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 98 Poplar St, Blackfoot, ID 83221
Phone: 208-785-4100    

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