Autum Shaw, CRNA in Jacksonville, FL - Medicare Nurse Anesthetist, Certified Registered

Autum Shaw, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jacksonville, Florida. Her current practice location is 1 Shircliff Way, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 308-7300.

Autum Shaw is licensed to practice in Florida (license number APRN11032916) 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 1497502207.

Contact Information

	Autum Shaw, CRNA
	1 Shircliff Way, Jacksonville, FL 32204-4748
	(904) 308-7300
	Not Available

Map and Direction

Provider's Profile

Full Name	Autum Shaw
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	1 Shircliff Way, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497502207
Provider Enumeration Date: 05/01/2024
Last Update Date: 11/18/2024

Medicare PECOS Information:

PECOS PAC ID: 1456890615
Enrollment ID: I20240831000497

Medical Identifiers

Medical identifiers for Autum Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497502207	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	APRN11032916 (Florida)	Primary
163W00000X	Registered Nurse	9424972 (Florida)	Secondary

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. Autum Shaw allows following entities to bill medicare on her behalf.

Entity Name	North Florida Anesthesia Consultants Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346236866 PECOS PAC ID: 7416869565 Enrollment ID: O20031105000664

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. Autum Shaw 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
Autum Shaw, CRNA 8501 Stocks Rd, Jacksonville, FL 32220-1222 Ph: (904) 707-9749	Autum Shaw, CRNA 1 Shircliff Way, Jacksonville, FL 32204-4748 Ph: (904) 308-7300

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Jacksonville, FL

Crystal Lynn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Lauren E Freed, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Dr. Sarah Anne Piscitello, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Shircliff Way, Jacksonville, FL 32204 Phone: 904-477-5855
Lindsay Michelle Putkowski, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3625 University Blvd S, Jacksonville, FL 32216 Phone: 904-702-6111
Kristina Schneider, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Mr. Bruce Anthony Wilburn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2165 Herschel St, Jacksonville, FL 32204 Phone: 904-387-1220
Tabitha Jay Barrett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Shircliff Way, Jacksonville, FL 32204 Phone: 954-939-5216

Autum Shaw, CRNA - Medicare Nurse Anesthetist, Certified Registered in Jacksonville, FL