Lisa Marie Ghavam, CRNA in Huntsville, AL - Medicare Certified Registered Nurse Anesthetist (crna)

Lisa Marie Ghavam, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Huntsville, Alabama. She graduated from nursing school in 1992 and has 32 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Physynergy Llc and her current practice location is 911 Big Cove Rd Se, Huntsville, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 265-8120.

Lisa Marie Ghavam is licensed to practice in Alabama (license number 1-067541) 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 1285666172.

Contact Information

	Lisa Marie Ghavam, CRNA
	911 Big Cove Rd Se, Huntsville, AL 35801-3750
	(256) 265-8120
	(256) 265-8969

Map and Direction

Provider's Profile

Full Name	Lisa Marie Ghavam
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	32 Years
Location	911 Big Cove Rd Se, Huntsville, Alabama
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:

Lisa Marie Ghavam graduated from nursing school in 1992

NPI Data:

NPI Number: 1285666172
Provider Enumeration Date: 07/07/2006
Last Update Date: 01/16/2013

Medicare PECOS Information:

PECOS PAC ID: 4789621178
Enrollment ID: I20050418000248

Medical Identifiers

Medical identifiers for Lisa Marie Ghavam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285666172	NPI	-	NPPES
051526398	Medicaid	AL
515-26398	Other	AL	BC BS OF ALABAMA
P00626147	Other	AL	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	1-067541 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Crestwood Medical Center	Huntsville, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Physynergy Llc	6204081292	60

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. Lisa Marie Ghavam allows following entities to bill medicare on her behalf.

Entity Name	Huntsville Anesthesiology Consultants Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073661492 PECOS PAC ID: 0749171262 Enrollment ID: O20040323001826

Entity Name	Gastroenterology Associates Of North-central Alabama Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528080595 PECOS PAC ID: 3072591478 Enrollment ID: O20040712001151

Entity Name	Birmingham Gastroenterology Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366406514 PECOS PAC ID: 9537107594 Enrollment ID: O20050420000545

Entity Name	Anesthesia Staffing Solutions, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952595803 PECOS PAC ID: 3072693738 Enrollment ID: O20080108000006

Entity Name	Physynergy Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134465560 PECOS PAC ID: 6204081292 Enrollment ID: O20130222000456

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. Lisa Marie Ghavam 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
Lisa Marie Ghavam, CRNA Po Box 1389, Huntsville, AL 35807-0389 Ph: (256) 265-8120	Lisa Marie Ghavam, CRNA 911 Big Cove Rd Se, Huntsville, AL 35801-3750 Ph: (256) 265-8120

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Huntsville, AL

Jedidiah A Earls, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 911 Big Cove Rd Se, Huntsville, AL 35801 Phone: 256-265-8120 Fax: 256-265-8969
Brian Alan Piazza, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr Sw, Huntsville, AL 35801 Phone: 256-469-7895 Fax: 256-270-8937
Charlotte A Parker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 911 Big Cove Rd Se, Anesthesia Dept, Huntsville, AL 35801 Phone: 256-265-8120 Fax: 256-265-8969
Marlin Sean Ryder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 911 Big Cove Rd Se, Anesthesia Dept., Huntsville, AL 35801 Phone: 256-265-8120 Fax: 256-265-8969
Terry D Wendell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 911 Big Cove Rd Se, Anesthesia Dept., Huntsville, AL 35801 Phone: 256-265-8120 Fax: 256-265-8969
Alan A Berard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 911 Big Cove Rd Se, Anesthesia Dept., Huntsville, AL 35801 Phone: 256-265-8120 Fax: 256-265-8969
Eric L Bryant, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 721 Madison St Se, Huntsville, AL 35801 Phone: 256-880-6711 Fax: 256-880-6712

Lisa Marie Ghavam, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Huntsville, AL