Anna Wisted, CRNA in Roswell, GA - Medicare Nurse Anesthetist, Certified Registered

Anna Wisted, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Roswell, Georgia. Her current practice location is 3000 Hospital Blvd, Roswell, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 772-7577.

Anna Wisted is licensed to practice in Georgia (license number RN254819) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780306852.

Contact Information

	Anna Wisted, CRNA
	3000 Hospital Blvd, Roswell, GA 30076-4915
	(678) 772-7577
	Not Available

Map and Direction

Provider's Profile

Full Name	Anna Wisted
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	3000 Hospital Blvd, Roswell, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780306852
Provider Enumeration Date: 09/15/2022
Last Update Date: 05/14/2024

Medicare PECOS Information:

PECOS PAC ID: 9931565397
Enrollment ID: I20230510001645

Medical Identifiers

Medical identifiers for Anna Wisted such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780306852	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN254819 (Georgia)	Primary

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. Anna Wisted allows following entities to bill medicare on her behalf.

Entity Name	Mak Anesthesia Holdings, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563

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. Anna Wisted 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
Anna Wisted, CRNA 16 Revival St, Roswell, GA 30075-4801 Ph: (678) 772-7577	Anna Wisted, CRNA 3000 Hospital Blvd, Roswell, GA 30076-4915 Ph: (678) 772-7577

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Roswell, GA

Madge Evans Moon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 Hospital Blvd, Roswell, GA 30076 Phone: 770-751-2623 Fax: 770-751-2627
Lina Nmn Cline, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 120 Park East Dr, Roswell, GA 30075 Phone: 678-523-4000
Dr. Sydney Mara Suss, DNP CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3000 Hospital Blvd, Roswell, GA 30076 Phone: 770-751-2500
Shannon Woodall Betsill, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 Hospital Blvd, Suite 480, Roswell, GA 30076 Phone: 678-762-0676 Fax: 678-762-7980
Roger Lee Brown Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 Hospital Blvd, Anesthesia Dept., Roswell, GA 30076 Phone: 770-751-2623 Fax: 770-751-2627
Mitchael Lee Vickers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 Hospital Blvd, Suite 480, Roswell, GA 30076 Phone: 678-762-0676
Patricia Amirault Crowder, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 3000 Hospital Blvd, Roswell, GA 30076 Phone: 770-751-2500 Fax: 770-751-2609

Anna Wisted, CRNA - Medicare Nurse Anesthetist, Certified Registered in Roswell, GA