Mr Kendall Mark Broome, CRNA in Atlanta, GA - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Kendall Mark Broome, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Atlanta, Georgia. He graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Lake Lanier Anesthesia Associates Llc, Gsg Anesthesia Llc and his current practice location is 5671 Peachtree-dunwoody Rd, Ste 680, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 705-6985.

Mr Kendall Mark Broome is licensed to practice in Georgia (license number RN 135213) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1932157484.

Contact Information

	Mr Kendall Mark Broome, CRNA
	5671 Peachtree-dunwoody Rd, Ste 680, Atlanta, GA 30342-5014
	(404) 705-6985
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Kendall Mark Broome
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	23 Years
Location	5671 Peachtree-dunwoody Rd, Atlanta, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Kendall Mark Broome graduated from nursing school in 2001

NPI Data:

NPI Number: 1932157484
Provider Enumeration Date: 05/05/2006
Last Update Date: 10/03/2021

Medicare PECOS Information:

PECOS PAC ID: 2062420805
Enrollment ID: I20060405000225

Medical Identifiers

Medical identifiers for Mr Kendall Mark Broome such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932157484	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN 135213 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lake Lanier Anesthesia Associates Llc	4082061635	7
Gsg Anesthesia Llc	5395133276	11

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. Mr Kendall Mark Broome allows following entities to bill medicare on his behalf.

Entity Name	Gastroenterology Anesthesia Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942563242 PECOS PAC ID: 3779730080 Enrollment ID: O20120821000929

Entity Name	Gi Anesthesia Of Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326569187 PECOS PAC ID: 0446516769 Enrollment ID: O20171102000283

Entity Name	Anesthesia Dynamics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20200508002106

Entity Name	Gsg Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184294761 PECOS PAC ID: 5395133276 Enrollment ID: O20211026001780

Entity Name	Lake Lanier Anesthesia Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003443722 PECOS PAC ID: 4082061635 Enrollment ID: O20231103002222

Entity Name	Oconee River Anesthesia Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992325641 PECOS PAC ID: 9739536145 Enrollment ID: O20231107001362

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. Mr Kendall Mark Broome 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
Mr Kendall Mark Broome, CRNA Po Box 740209, Dept 1041, Atlanta, GA 30374-0209 Ph: () -	Mr Kendall Mark Broome, CRNA 5671 Peachtree-dunwoody Rd, Ste 680, Atlanta, GA 30342-5014 Ph: (404) 705-6985

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Atlanta, GA

Hannah L Steele, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 770-645-9181 Fax: 770-645-8455
Susan C. Osgood, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 770-645-9181 Fax: 770-645-8455
Lynnon Leana Connerly, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree Street, Suite 1600, Atlanta, GA 30308 Phone: 404-253-6820 Fax: 404-874-1249
Mrs. Shani G Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1968 Peachtree Rd., Nw, Atlanta, GA 30309 Phone: 404-351-1745 Fax: 404-351-7121
Vivian S. Fontenot, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 770-645-9181 Fax: 770-645-8455
Charita Merchant, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1968 Peachtree Rd Nw, Atlanta, GA 30309 Phone: 678-216-0771
Caitlin Quigley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1405 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-785-5437

Mr Kendall Mark Broome, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Atlanta, GA