Susan Ghodrat, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Alpharetta, GA

Susan Ghodrat, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Alpharetta, Georgia. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Surgical Anesthesia Associates Pllc and her current practice location is 2655 Northwinds Pkwy, Alpharetta, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 690-7804.

Susan Ghodrat is licensed to practice in Virginia (license number 0001260445) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1891455184.

Contact Information

Susan Ghodrat, CRNA
2655 Northwinds Pkwy,
Alpharetta, GA 30009-2280
(678) 690-7804
Not Available



Provider's Profile

Full NameSusan Ghodrat
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience3 Years
Location2655 Northwinds Pkwy, Alpharetta, Georgia
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Susan Ghodrat graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1891455184
  • Provider Enumeration Date: 12/28/2021
  • Last Update Date: 05/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5597143271
  • Enrollment ID: I20220608002395

Medical Identifiers

Medical identifiers for Susan Ghodrat such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891455184NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 0001260445 (Virginia)Secondary
367500000XNurse Anesthetist, Certified Registered 0001260445 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sentara Northern Virginia Medical CenterWoodbridge, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Surgical Anesthesia Associates Pllc5890739205101

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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. Susan Ghodrat allows following entities to bill medicare on her behalf.
Entity NamePremier Anesthesia Of Virginia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255986147
PECOS PAC ID: 1951722362
Enrollment ID: O20200610001253

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Entity NameSurgical Anesthesia Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811930647
PECOS PAC ID: 5890739205
Enrollment ID: O20230130001161

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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. Susan Ghodrat 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
Susan Ghodrat, CRNA
1788 N Pierce St Apt 508,
Arlington, VA 22209-2525

Ph: () -
Susan Ghodrat, CRNA
2655 Northwinds Pkwy,
Alpharetta, GA 30009-2280

Ph: (678) 690-7804

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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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