Ted Masao Ikari, CRNA in Alpharetta, GA - Medicare Nurse Anesthetist, Certified Registered

Ted Masao Ikari, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Alpharetta, Georgia. His current practice location is 2575 Northwinds Pkwy, Alpharetta, Georgia. You can reach out to his office (for appointments etc.) via phone at (808) 255-4455.

Ted Masao Ikari is licensed to practice in Ohio (license number 145029) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659093342.

Contact Information

	Ted Masao Ikari, CRNA
	2575 Northwinds Pkwy, Alpharetta, GA 30009-2232
	(808) 255-4455
	Not Available

Map and Direction

Provider's Profile

Full Name	Ted Masao Ikari
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	2575 Northwinds Pkwy, Alpharetta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659093342
Provider Enumeration Date: 09/19/2022
Last Update Date: 09/19/2022

Medicare PECOS Information:

PECOS PAC ID: 3274904206
Enrollment ID: I20230130000907

Medical Identifiers

Medical identifiers for Ted Masao Ikari such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659093342	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	145029 (Ohio)	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. Ted Masao Ikari allows following entities to bill medicare on his behalf.

Entity Name	Eastern Maine Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790789147 PECOS PAC ID: 2062315161 Enrollment ID: O20040128000088

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. Ted Masao Ikari 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
Ted Masao Ikari, CRNA Po Box 129, Honomu, HI 96728-0129 Ph: (808) 255-4455	Ted Masao Ikari, CRNA 2575 Northwinds Pkwy, Alpharetta, GA 30009-2232 Ph: (808) 255-4455

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Alpharetta, GA

Rae Wood Grimsley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009 Phone: 770-643-5619
Joshua A Getzinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009 Phone: 770-643-5619
Shelby Pope, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009 Phone: 770-643-5619
Monica E Burrell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 Old Milton Pkwy, Alpharetta, GA 30005 Phone: 770-645-9181 Fax: 770-645-8455
Tyrena Burroughs, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009 Phone: 770-643-5619
Roviena J Royulada-ycu, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009 Phone: 770-643-5619
Corey Colley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2655 Northwinds Pkwy, Alpharetta, GA 30009 Phone: 770-643-5619

Ted Masao Ikari, CRNA - Medicare Nurse Anesthetist, Certified Registered in Alpharetta, GA