Zachary Alexander Gradolph, - Medicare Certified Registered Nurse Anesthetist (crna) in Decatur, GA

Zachary Alexander Gradolph, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Decatur, Georgia. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Piedmont Anesthesia Associates Llc and his current practice location is 2701 N Decatur Rd, Decatur, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 501-1000.

Zachary Alexander Gradolph is licensed to practice in Georgia (license number RN227950) 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 1649755372.

Contact Information

Zachary Alexander Gradolph,
2701 N Decatur Rd,
Decatur, GA 30033-5918
(404) 501-1000
Not Available



Provider's Profile

Full NameZachary Alexander Gradolph
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience6 Years
Location2701 N Decatur Rd, Decatur, 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:
  • Zachary Alexander Gradolph graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1649755372
  • Provider Enumeration Date: 09/28/2018
  • Last Update Date: 12/04/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2264772235
  • Enrollment ID: I20190329001095

Medical Identifiers

Medical identifiers for Zachary Alexander Gradolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649755372NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN227950 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Piedmont HospitalAtlanta, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Piedmont Anesthesia Associates Llc3577457183260

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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. Zachary Alexander Gradolph allows following entities to bill medicare on his behalf.
Entity NamePiedmont Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407856594
PECOS PAC ID: 3577457183
Enrollment ID: O20040212000604

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Entity NameAmerican Anesthesiology Associates Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528068673
PECOS PAC ID: 7618934779
Enrollment ID: O20041210000442

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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. Zachary Alexander Gradolph 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
Zachary Alexander Gradolph,
255 Fairfield Cir,
Fayetteville, GA 30214-3330

Ph: (404) 405-1423
Zachary Alexander Gradolph,
2701 N Decatur Rd,
Decatur, GA 30033-5918

Ph: (404) 501-1000

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Nurse Anesthetist, Certified Registered Nurses in Decatur, GA

Samantha Wisner Valentini, RN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2551 Wilson Woods Dr, Decatur, GA 30033
Phone: 770-757-0131    
Sara Stelling Jones, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1670 Clairmont Rd, Decatur, GA 30033
Phone: 404-321-6111    
Ron I Mcdaniel, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2701 N Decatur Rd, Decatur, GA 30033
Phone: 678-514-1991    Fax: 678-514-1992
Dorothy Blue Wright, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1670 Clairmont Rd, Decatur, GA 30033
Phone: 404-321-6111    
Christine Hoefling, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2701 N Decatur Rd, Decatur, GA 30033
Phone: 678-514-1991    Fax: 678-514-1992
Oleg Giren, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2701 N Decatur Rd, Decatur, GA 30033
Phone: 678-514-1991    Fax: 678-514-1992
Natacha Simon-christie, DNP, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 2701 N Decatur Rd, Decatur, GA 30033
Phone: 404-778-7408    Fax: 404-778-3238

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