Ibrahim Atanda Shode, in North Providence, RI - Medicare Nurse Anesthetist, Certified Registered

Ibrahim Atanda Shode, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in North Providence, Rhode Island. His current practice location is 57 Villa Ave, North Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 663-8893.

Ibrahim Atanda Shode is licensed to practice in New Hampshire (license number 113637-23) 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 1497561203.

Contact Information

	Ibrahim Atanda Shode,
	57 Villa Ave, North Providence, RI 02904-4421
	(401) 663-8893
	Not Available

Map and Direction

Provider's Profile

Full Name	Ibrahim Atanda Shode
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	57 Villa Ave, North Providence, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497561203
Provider Enumeration Date: 12/06/2024
Last Update Date: 02/13/2025

Medicare PECOS Information:

PECOS PAC ID: 8426576067
Enrollment ID: I20250516002025

Medical Identifiers

Medical identifiers for Ibrahim Atanda Shode such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497561203	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	113637-23 (New Hampshire)	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. Ibrahim Atanda Shode allows following entities to bill medicare on his behalf.

Entity Name	Hospitalist Medicine Physicians Of New York - Patchogue Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366920993 PECOS PAC ID: 6406183821 Enrollment ID: O20230808001939

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. Ibrahim Atanda Shode 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
Ibrahim Atanda Shode, 57 Villa Ave, North Providence, RI 02904-4421 Ph: (401) 663-8893	Ibrahim Atanda Shode, 57 Villa Ave, North Providence, RI 02904-4421 Ph: (401) 663-8893

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in North Providence, RI

Nola A Monti, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 High Service Ave, North Providence, RI 02904 Phone: 401-456-3136 Fax: 401-456-3228
Lucille Buono, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 High Service Avenue, North Providence, RI 02904 Phone: 401-456-3136 Fax: 401-456-3621
Karen Krause, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 200 High Service Ave, North Providence, RI 02904 Phone: 401-456-3136 Fax: 401-456-3621
Michelle Eppel, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 High Service Ave, Marian Hall, Suite 232, North Providence, RI 02904 Phone: 401-456-3136 Fax: 401-456-3228
Mario N Sumilang, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 High Service Ave, North Providence, RI 02904 Phone: 401-456-3136 Fax: 401-456-3228
Deirdre O'sullivan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 High Service Ave, North Providence, RI 02904 Phone: 401-456-3136 Fax: 401-456-3621
Maria Mariorenzi-barone, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 High Service Avenue, North Providence, RI 02904 Phone: 401-456-3136 Fax: 401-456-3621

Ibrahim Atanda Shode, - Medicare Nurse Anesthetist, Certified Registered in North Providence, RI