Dr Graham James Gorsline, DNP CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Ithaca, New York. His current practice location is
101 Dates Dr, Ithaca, New York. You can reach out to his office (for appointments etc.) via phone at
(762) 408-3230.
Dr Graham James Gorsline is licensed to practice in New Jersey (license number 26NJ01166900) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033860911.
Provider's Profile
| Full Name | Dr Graham James Gorsline |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 101 Dates Dr, Ithaca, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1033860911
- Provider Enumeration Date: 01/12/2022
- Last Update Date: 11/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 9335524958
- Enrollment ID: I20220919001548
Medical Identifiers
Medical identifiers for Dr Graham James Gorsline such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033860911 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 26NJ01166900 (New Jersey) | 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. Dr Graham James Gorsline allows following entities to bill medicare on his behalf.
| Entity Name | Sentry Anesthesia Management, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134544794
PECOS PAC ID: 9436372323
Enrollment ID: O20140521002571 |
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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. Dr Graham James Gorsline 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 |
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Dr Graham James Gorsline, DNP CRNA
525 Whitted Rd,
Ithaca, NY 14850-6354
Ph: (607) 207-7263 | Dr Graham James Gorsline, DNP CRNA
101 Dates Dr,
Ithaca, NY 14850-1342
Ph: (762) 408-3230 |
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