Mrs Shana Brooke Bradley, RN in Kennesaw, GA - Medicare Certified Registered Nurse Anesthetist (crna)

Mrs Shana Brooke Bradley, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Kennesaw, Georgia. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Mak Anesthesia Holdings, Llc and her current practice location is 1300 Ridenour Blvd Nw Ste 300, Kennesaw, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 702-1806.

Mrs Shana Brooke Bradley is licensed to practice in Georgia (license number RN239256) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1548866114.

Contact Information

	Mrs Shana Brooke Bradley, RN
	1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152-4402
	(770) 702-1806
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Shana Brooke Bradley
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	4 Years
Location	1300 Ridenour Blvd Nw Ste 300, Kennesaw, Georgia
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Shana Brooke Bradley graduated from nursing school in 2020

NPI Data:

NPI Number: 1548866114
Provider Enumeration Date: 12/09/2020
Last Update Date: 07/25/2024

Medicare PECOS Information:

PECOS PAC ID: 6002224003
Enrollment ID: I20210412001423

Medical Identifiers

Medical identifiers for Mrs Shana Brooke Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548866114	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN239256 (Georgia)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	RN239256 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellstar North Fulton Hospital	Roswell, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mak Anesthesia Holdings, Llc	4284917204	170

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. Mrs Shana Brooke Bradley allows following entities to bill medicare on her behalf.

Entity Name	Mak Anesthesia Holdings, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563

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. Mrs Shana Brooke Bradley 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
Mrs Shana Brooke Bradley, RN 885 Mable Lake Rd, Cumming, GA 30041-8575 Ph: (770) 597-3247	Mrs Shana Brooke Bradley, RN 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152-4402 Ph: (770) 702-1806

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Kennesaw, GA

Laura Uphouse, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144 Phone: 678-202-2074 Fax: 770-590-1442
Daisy Tambe Jean-pierre, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152 Phone: 770-702-1806
Katelyn E Longacre, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152 Phone: 770-702-1806 Fax: 770-693-0810
Jenny R Deforeest, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1640 Airport Rd Nw, Ste. 110, Kennesaw, GA 30144 Phone: 678-202-2074 Fax: 678-290-0479
Dr. Olivier Mba, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 3869 Brentview Pl Nw, Kennesaw, GA 30144 Phone: 678-333-1944
Lauren Turley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5003 Barnwood Ter Nw, Kennesaw, GA 30152 Phone: 404-542-0285
Paul Christopher Dozier, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144 Phone: 678-202-2074

Mrs Shana Brooke Bradley, RN - Medicare Certified Registered Nurse Anesthetist (crna) in Kennesaw, GA