Candace Reynolds Grantham, CRNA in Dothan, AL - Medicare Nurse Anesthetist, Certified Registered

Candace Reynolds Grantham, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Dothan, Alabama. Her current practice location is 1108 Ross Clark Cir, Dothan, Alabama. You can reach out to her office (for appointments etc.) via phone at (334) 793-5105.

Candace Reynolds Grantham is licensed to practice in Alabama (license number 1102842) 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 1366774895.

Contact Information

	Candace Reynolds Grantham, CRNA
	1108 Ross Clark Cir, Dothan, AL 36301-3022
	(334) 793-5105
	(334) 671-5073

Map and Direction

Provider's Profile

Full Name	Candace Reynolds Grantham
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	1108 Ross Clark Cir, Dothan, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366774895
Provider Enumeration Date: 02/09/2010
Last Update Date: 10/22/2012

Medicare PECOS Information:

PECOS PAC ID: 7012046832
Enrollment ID: I20100603000389

Medical Identifiers

Medical identifiers for Candace Reynolds Grantham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366774895	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	1102842 (Alabama)	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. Candace Reynolds Grantham allows following entities to bill medicare on her behalf.

Entity Name	Anesthesia Consultants Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902885874 PECOS PAC ID: 8628975935 Enrollment ID: O20031216000012

Entity Name	Houston County Healthcare Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619026606 PECOS PAC ID: 9436062296 Enrollment ID: O20040219000209

Entity Name	Southern Alabama Surgery Center Llc
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1346349164 PECOS PAC ID: 2062461460 Enrollment ID: O20050112000767

Entity Name	Dothan Anesthesiology Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013997857 PECOS PAC ID: 2769417583 Enrollment ID: O20050929001368

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. Candace Reynolds Grantham 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
Candace Reynolds Grantham, CRNA 1118 Ross Clark Circle, Suite 700, Dothan, AL 36302-3030 Ph: (334) 793-5105	Candace Reynolds Grantham, CRNA 1108 Ross Clark Cir, Dothan, AL 36301-3022 Ph: (334) 793-5105

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Dothan, AL

Gina L Searcy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8087 Fax: 334-793-8191
Dennis Morrison, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8087 Fax: 334-793-8191
Mr. Patrick Francis Lux, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8765 Fax: 334-678-2864
Mr. Michael Aaron Allen, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4370 W Main St, Dothan, AL 36305 Phone: 334-793-5000
Nola Grubbs, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4370 W Main St, Dothan, AL 36305 Phone: 334-793-5000 Fax: 334-615-8419
Janet Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8087 Fax: 334-793-8191
Alto Lee Johnson Iii, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8087 Fax: 334-793-8191

Candace Reynolds Grantham, CRNA - Medicare Nurse Anesthetist, Certified Registered in Dothan, AL