Ms Haley C Gordon, CRNA - Medicare Nurse Anesthetist, Certified Registered in Atlanta, GA

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Ms Haley C Gordon, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Atlanta, Georgia. Her current practice location is 1968 Peachtree Road Nw, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 351-1745.

Ms Haley C Gordon is licensed to practice in Georgia (license number RN165923) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1720217805.

Contact Information

Ms Haley C Gordon, CRNA
1968 Peachtree Road Nw,
Atlanta, GA 30309-1281
(404) 351-1745
(404) 351-7121

Map and Direction




Provider's Profile

Full NameMs Haley C Gordon
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location1968 Peachtree Road Nw, Atlanta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720217805
  • Provider Enumeration Date: 07/09/2009
  • Last Update Date: 03/11/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5294864682
  • Enrollment ID: I20100524000221

Medical Identifiers

Medical identifiers for Ms Haley C Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720217805NPI-NPPES
864081803BMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN165923 (Georgia)Secondary
367500000XNurse Anesthetist, Certified Registered RN165923 (Georgia)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. Ms Haley C Gordon allows following entities to bill medicare on her behalf.
Entity NameNorth Fulton Anesthesia Associates, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467445262
PECOS PAC ID: 7113914466
Enrollment ID: O20040428000839
Entity NameProgressive Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215225560
PECOS PAC ID: 7618148263
Enrollment ID: O20110912000776
Entity NameWgg Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578843280
PECOS PAC ID: 4981875325
Enrollment ID: O20110915000641
Entity NameSg Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053750646
PECOS PAC ID: 3072757079
Enrollment ID: O20130912000589
Entity NameSentry Anesthesia Management, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134544794
PECOS PAC ID: 9436372323
Enrollment ID: O20140521002571
Entity NameXenon Anesthesia Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366865123
PECOS PAC ID: 5597081067
Enrollment ID: O20150226001972
Entity NameGreater Atlanta Anesthesia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285043158
PECOS PAC ID: 7315264645
Enrollment ID: O20150326000819
Entity NamePain Physicians Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194287763
PECOS PAC ID: 8426384736
Enrollment ID: O20190724002940

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. Ms Haley C Gordon 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 AddressPractice Location Address
Ms Haley C Gordon, CRNA
1087 Mclynn Ave Ne,
Atlanta, GA 30306-3324

Ph: (404) 313-5833		Ms Haley C Gordon, CRNA
1968 Peachtree Road Nw,
Atlanta, GA 30309-1281

Ph: (404) 351-1745

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.