Walter Jason Smith, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Kennesaw, GA

Walter Jason Smith, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Kennesaw, Georgia. He went to Northwestern University Feinberg Medical School and graduated in 2015 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Mak Anesthesia Holdings, Llc and his current practice location is 1635 Old 41 Hwy Nw, Kennesaw, Georgia. You can reach out to his office (for appointments etc.) via phone at (870) 530-0081.

Walter Jason Smith is licensed to practice in Georgia (license number RN185136) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1578923355.

Contact Information

Walter Jason Smith, CRNA
1635 Old 41 Hwy Nw,
Kennesaw, GA 30152-4480
(870) 530-0081
Not Available

Map and Direction




Provider's Profile

Full NameWalter Jason Smith
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience9 Years
Location1635 Old 41 Hwy Nw, Kennesaw, Georgia
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Walter Jason Smith attended and graduated from Northwestern University Feinberg Medical School in 2015
  NPI Data:
  • NPI Number: 1578923355
  • Provider Enumeration Date: 03/07/2016
  • Last Update Date: 03/07/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 0749573673
  • Enrollment ID: I20160729000375

Medical Identifiers

Medical identifiers for Walter Jason Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578923355NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN185136 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellstar Cobb HospitalAustell, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mak Anesthesia Holdings, Llc4284917204170

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. Walter Jason Smith allows following entities to bill medicare on his behalf.
Entity NameMak Anesthesia Cobb Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699045070
PECOS PAC ID: 7810154960
Enrollment ID: O20120201000868
Entity NameMak Anesthesia, Nw Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609202720
PECOS PAC ID: 4880820315
Enrollment ID: O20131111001715
Entity NameMak Anesthesia Decatur Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720409147
PECOS PAC ID: 8224261433
Enrollment ID: O20140423001687
Entity NameMak Anesthesia Holdings, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912452939
PECOS PAC ID: 4284917204
Enrollment ID: O20170216001563
Entity NameMak Anesthesia Northside Affiliates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609390103
PECOS PAC ID: 7315203718
Enrollment ID: O20171116002499

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. Walter Jason Smith 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
Walter Jason Smith, CRNA
1635 Old 41 Hwy Nw,
Kennesaw, GA 30152-4480

Ph: () -
Walter Jason Smith, CRNA
1635 Old 41 Hwy Nw,
Kennesaw, GA 30152-4480

Ph: (870) 530-0081

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    

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.