Kirk Robert Shelley Jr, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Savannah, GA

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Kirk Robert Shelley Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Savannah, Georgia. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesia Of Coastal Georgia Llc, Se Georgia Anesthesia, Llc and his current practice location is 4700 Waters Ave, Savannah, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 350-8000.

Kirk Robert Shelley Jr is licensed to practice in Georgia (license number RN282650) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063986776.

Contact Information

Kirk Robert Shelley Jr, CRNA
4700 Waters Ave,
Savannah, GA 31404-6220
(912) 350-8000
Not Available

Map and Direction




Provider's Profile

Full NameKirk Robert Shelley Jr
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience6 Years
Location4700 Waters Ave, Savannah, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kirk Robert Shelley Jr graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1063986776
  • Provider Enumeration Date: 01/15/2019
  • Last Update Date: 02/15/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3072852151
  • Enrollment ID: I20190307001513

Medical Identifiers

Medical identifiers for Kirk Robert Shelley Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063986776NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN282650 (Georgia)Secondary
367500000XNurse Anesthetist, Certified Registered RN282650 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial University Medical CenterSavannah, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Anesthesia Of Coastal Georgia Llc45878317486
Se Georgia Anesthesia, Llc8426466137105

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. Kirk Robert Shelley Jr allows following entities to bill medicare on his behalf.
Entity NameAmerican Anesthesiology Associates Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528068673
PECOS PAC ID: 7618934779
Enrollment ID: O20041210000442
Entity NameAnesthesia Consultants Of Savannah, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679774343
PECOS PAC ID: 7911098660
Enrollment ID: O20070809000242
Entity NameAnesthesia Of Coastal Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487921581
PECOS PAC ID: 4587831748
Enrollment ID: O20120111000877
Entity NameSentry Anesthesia Management, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134544794
PECOS PAC ID: 9436372323
Enrollment ID: O20140521002571
Entity NameCoastal Ambulatory Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750753786
PECOS PAC ID: 1052613023
Enrollment ID: O20160107001775
Entity NameGi Anesthesia Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326569187
PECOS PAC ID: 0446516769
Enrollment ID: O20171102000283
Entity NameSe Georgia Anesthesia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518542919
PECOS PAC ID: 8426466137
Enrollment ID: O20210419001856

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. Kirk Robert Shelley Jr 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
Kirk Robert Shelley Jr, CRNA
11 Settlers Pt,
Savannah, GA 31406-3235

Ph: (864) 630-7431		Kirk Robert Shelley Jr, CRNA
4700 Waters Ave,
Savannah, GA 31404-6220

Ph: (912) 350-8000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Savannah, GA

Jonathan R Simons, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4700 Waters Ave, Savannah, GA 31404
Phone: 912-350-8000    
Lucia L Owens, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4700 Waters Ave, Savannah, GA 31404
Phone: 912-350-8000    
Lauren P. Hoffman, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1139 Lexington Ave, Savannah, GA 31404
Phone: 912-429-9020    Fax: 912-352-0793
Mary Ann D Greene, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 4700 Waters Ave, Savannah, GA 31404
Phone: 912-350-8000    
Shannon Corbett Glenn, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 11705 Mercy Blvd, Savannah, GA 31419
Phone: 912-819-4100    
Mary L Fetterman,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 6605 Abercorn St, St 108, Savannah, GA 31405
Phone: 912-354-5357    
Amber Badri, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 5353 Reynolds St, Savannah, GA 31405
Phone: 912-355-7214    

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.