Jessica D Shadburne, CRNA in Louisville, KY - Medicare Certified Registered Nurse Anesthetist (crna)

Jessica D Shadburne, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Louisville, Kentucky. She graduated from nursing school in 1993 and has 31 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice University Of Louisville Physicians Inc, University Of Louisville Physicians Inc and her current practice location is 3920 Dutchmans Ln, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 259-6710.

Jessica D Shadburne is licensed to practice in Kentucky (license number 3003303) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336136365.

Contact Information

	Jessica D Shadburne, CRNA
	3920 Dutchmans Ln, Louisville, KY 40207-4702
	(502) 259-6710
	(502) 259-6704

Map and Direction

Provider's Profile

Full Name	Jessica D Shadburne
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	31 Years
Location	3920 Dutchmans Ln, Louisville, Kentucky
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jessica D Shadburne graduated from nursing school in 1993

NPI Data:

NPI Number: 1336136365
Provider Enumeration Date: 10/04/2005
Last Update Date: 03/01/2023

Medicare PECOS Information:

PECOS PAC ID: 6204809403
Enrollment ID: I20040816001414

Medical Identifiers

Medical identifiers for Jessica D Shadburne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336136365	NPI	-	NPPES
CH6488	Other	KY	RR MEDICARE GROUP NUMBER
1134761	Other	KY	PASSPORT
74441502	Medicaid	KY
201208770	Medicaid	IN
2437849000	Other	KY	PASSPORT ADVANTAGE
000000245148	Other	KY	BLUE SHIELD
430063052	Other	KY	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	1094943 (Kentucky)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	3003303 (Kentucky)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jewish Hospital & St Mary's Healthcare	Louisville, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Louisville Physicians Inc	3476725599	1111
University Of Louisville Physicians Inc	3476725599	1111

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. Jessica D Shadburne allows following entities to bill medicare on her behalf.

Entity Name	Anesthesiology Associates Psc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164400701 PECOS PAC ID: 6800785742 Enrollment ID: O20040310001540

Entity Name	University Of Louisville Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036

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. Jessica D Shadburne 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
Jessica D Shadburne, CRNA Po Box 909, Louisville, KY 40201-0909 Ph: (502) 588-0328	Jessica D Shadburne, CRNA 3920 Dutchmans Ln, Louisville, KY 40207-4702 Ph: (502) 259-6710

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Louisville, KY

Benjamin Martin Choi Sampedro, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 E Chestnut St, Louisville, KY 40202 Phone: 214-687-0001
Mrs. Shelby Victoria Cofer, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-562-3000
Marian Antonette Cochiaosue-avery, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-1735 Fax: 502-852-6056
Jessica Earline Luvisi, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 231 E Chestnut St, Louisville, KY 40202 Phone: 502-629-6000
Chad Riddle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4034 Saint Ives Ct, Louisville, KY 40207 Phone: 502-640-8349 Fax: 502-749-9202
Mr. Scott M. Beyl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-6901 Fax: 502-852-6056
Lauren Elise Coles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-1735 Fax: 502-852-6056

Jessica D Shadburne, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Louisville, KY