Judith D Shackelford, CRNA - Nurse Anesthetist, Certified Registered in Fairmont, WV

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Judith D Shackelford, CRNA is a Nurse Anesthetist, Certified Registered based in Fairmont, West Virginia. Judith D Shackelford is licensed to practice in West Virginia (license number 18137) and her current practice location is Fairmont General Hospital, 1325 Locust Avenue, Fairmont, West Virginia. She can be reached at her office (for appointments etc.) via phone at (304) 367-7267.

NPI number for Judith D Shackelford is 1447347117 and her current mailing address is Po Box 11302, Charleston, West Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447347117.

Contact Information

Judith D Shackelford, CRNA
Fairmont General Hospital, 1325 Locust Avenue,
Fairmont, WV 26554
(304) 367-7267
(304) 367-7503

Map and Direction




Provider's Profile

Full NameJudith D Shackelford
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
LocationFairmont General Hospital, Fairmont, West Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1447347117
  • Provider Enumeration Date: 10/06/2006
  • Last Update Date: 05/14/2008

Medical Identifiers

Medical identifiers for Judith D Shackelford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447347117NPI-NPPES
001907661OtherWVMSBCBS
001721190OtherWVMTN. STATE BLUE CROSS
0066583000MedicaidWV
3810006746MedicaidWV
DF0767OtherWVRR MEDICARE
205542387OtherWVAAP TRI CARE
P00377021OtherWVRR MEDICARE
0166583000MedicaidWV
20554238700OtherWVWORKERS COMP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 18137 (West Virginia)Primary

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. Judith D Shackelford is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Judith D Shackelford, CRNA
Po Box 11302,
Charleston, WV 25339-1302

Ph: (304) 346-9400		Judith D Shackelford, CRNA
Fairmont General Hospital, 1325 Locust Avenue,
Fairmont, WV 26554

Ph: (304) 367-7267

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Fairmont, WV

Linda C Parlett, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: Fairmont General Hospital, 1325 Locust Avenue, Fairmont, WV 26554
Phone: 304-367-7267    Fax: 304-367-7503

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.