Jennifer Anne Tenorio Ketcham, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Atlanta, GA

Jennifer Anne Tenorio Ketcham, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Atlanta, Georgia. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Choa Hospital Based, Llc and her current practice location is 1405 Clifton Rd Ne Fl 3, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 785-6670.

Jennifer Anne Tenorio Ketcham is licensed to practice in Georgia (license number RN177251) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073979746.

Contact Information

Jennifer Anne Tenorio Ketcham, CRNA
1405 Clifton Rd Ne Fl 3,
Atlanta, GA 30322-1060
(404) 785-6670
(404) 785-1362



Provider's Profile

Full NameJennifer Anne Tenorio Ketcham
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience9 Years
Location1405 Clifton Rd Ne Fl 3, Atlanta, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jennifer Anne Tenorio Ketcham graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1073979746
  • Provider Enumeration Date: 01/11/2016
  • Last Update Date: 06/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4789988692
  • Enrollment ID: I20160212000201

Medical Identifiers

Medical identifiers for Jennifer Anne Tenorio Ketcham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073979746NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN177251 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Choa Hospital Based, Llc468881249855

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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. Jennifer Anne Tenorio Ketcham allows following entities to bill medicare on her behalf.
Entity NameChoa Hospital Based, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457695488
PECOS PAC ID: 4688812498
Enrollment ID: O20130605000601

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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. Jennifer Anne Tenorio Ketcham 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
Jennifer Anne Tenorio Ketcham, CRNA
1405 Clifton Rd Ne Fl 3,
Atlanta, GA 30322-1060

Ph: (404) 785-6670
Jennifer Anne Tenorio Ketcham, CRNA
1405 Clifton Rd Ne Fl 3,
Atlanta, GA 30322-1060

Ph: (404) 785-6670

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Nurse Anesthetist, Certified Registered Nurses in Atlanta, GA

Hannah L Steele, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342
Phone: 770-645-9181    Fax: 770-645-8455
Susan C. Osgood, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342
Phone: 770-645-9181    Fax: 770-645-8455
Lynnon Leana Connerly, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 550 Peachtree Street, Suite 1600, Atlanta, GA 30308
Phone: 404-253-6820    Fax: 404-874-1249
Mrs. Shani G Johnson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1968 Peachtree Rd., Nw, Atlanta, GA 30309
Phone: 404-351-1745    Fax: 404-351-7121
Vivian S. Fontenot, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342
Phone: 770-645-9181    Fax: 770-645-8455
Charita Merchant, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1968 Peachtree Rd Nw, Atlanta, GA 30309
Phone: 678-216-0771    
Caitlin Quigley, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1405 Clifton Rd Ne, Atlanta, GA 30322
Phone: 404-785-5437    

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