Jason David Kranenburg, CSFA - Specialist/Technologist, Other in Fayetteville, GA

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Jason David Kranenburg, CSFA is a Specialist/technologist, Other - Surgical Assistant based in Fayetteville, Georgia. Jason David Kranenburg is licensed to practice in Georgia (license number 143379) and his current practice location is 1415 Highway 85 N Ste 310-147, Fayetteville, Georgia. He can be reached at his office (for appointments etc.) via phone at (937) 570-2426.

NPI number for Jason David Kranenburg is 1083046635 and his current mailing address is Po Box 2550, Rowlett, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083046635.

Contact Information

Jason David Kranenburg, CSFA
1415 Highway 85 N Ste 310-147,
Fayetteville, GA 30214-7738
(937) 570-2426
Not Available

Map and Direction




Provider's Profile

Full NameJason David Kranenburg
GenderMale
SpecialitySpecialist/technologist, Other - Surgical Assistant
Location1415 Highway 85 N Ste 310-147, Fayetteville, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083046635
  • Provider Enumeration Date: 08/06/2013
  • Last Update Date: 11/16/2021

Medical Identifiers

Medical identifiers for Jason David Kranenburg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083046635NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical 143379 (Georgia)Secondary
246ZC0007XSpecialist/technologist, Other - Surgical Assistant 143379 (Georgia)Primary

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. Jason David Kranenburg is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jason David Kranenburg, CSFA
Po Box 2550,
Rowlett, TX 75030-2550

Ph: (214) 227-2457		Jason David Kranenburg, CSFA
1415 Highway 85 N Ste 310-147,
Fayetteville, GA 30214-7738

Ph: (937) 570-2426

Reviews and Comments



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