Alicia M Craddock, CRNA in Marietta, GA - Medicare Certified Registered Nurse Anesthetist (crna)

Alicia M Craddock, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Marietta, Georgia. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Wellstar Medical Group, Llc and her current practice location is 2540 Windy Hill Rd Se, Marietta, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 644-1274.

Alicia M Craddock is licensed to practice in Georgia (license number RN168147) 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 1124283999.

Contact Information

	Alicia M Craddock, CRNA
	2540 Windy Hill Rd Se, Marietta, GA 30067-8605
	(770) 644-1274
	Not Available

Map and Direction

Provider's Profile

Full Name	Alicia M Craddock
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	16 Years
Location	2540 Windy Hill Rd Se, Marietta, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Alicia M Craddock graduated from nursing school in 2008

NPI Data:

NPI Number: 1124283999
Provider Enumeration Date: 07/22/2008
Last Update Date: 05/22/2020

Medicare PECOS Information:

PECOS PAC ID: 7618037847
Enrollment ID: I20150713003135

Medical Identifiers

Medical identifiers for Alicia M Craddock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124283999	NPI	-	NPPES
P00770314	Other	TN	RAILROAD MEDICARE
N480408	Other	GA	WELLCARE (GA MEDICAID)
8053486	Medicaid	NC
108083	Medicaid	AL
662969153A	Medicaid	GA
4157214	Other	TN	BLUE CROSS BLUE SHIELD TN
1510651	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN0000154198 (Tennessee)	Secondary
163W00000X	Registered Nurse	RN168147 (Georgia)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	APN0000013603 (Tennessee)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	RN168147 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellstar Kennestone Hospital	Marietta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wellstar Medical Group, Llc	6709065402	1917

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. Alicia M Craddock allows following entities to bill medicare on her behalf.

Entity Name	Tmc-west Georgia Anesthesia Associates Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740252022 PECOS PAC ID: 2365456308 Enrollment ID: O20060130000647

Entity Name	Greater Anesthesia Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518128289 PECOS PAC ID: 7810064029 Enrollment ID: O20080930000033

Entity Name	Mulkey Anesthesiology Associates, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417288069 PECOS PAC ID: 6406035583 Enrollment ID: O20110120001157

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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. Alicia M Craddock 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 Address	Practice Location Address
Alicia M Craddock, CRNA 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 Ph: (770) 644-1274	Alicia M Craddock, CRNA 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 Ph: (770) 644-1274

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Marietta, GA

Devin Horton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477
Mrs. Melissa D. Limonta, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2540 Windy Hill Rd Se, Marietta, GA 30067 Phone: 470-644-1274 Fax: 470-644-1119
Mr. Wesley Eric Karcher, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1545 Powers Ferry Rd Se Ste 120, Marietta, GA 30067 Phone: 770-580-0979 Fax: 678-383-6735
Ashley Fitzgerald Hall, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 757-339-9356
Nancy Uhrich, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108
Russell L. Branch Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 531 Roselane St Nw, Suite 830, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108
Brady James Flores Banares, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108

Alicia M Craddock, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Marietta, GA