Lisa J Shackelford, CRNA in Jonesboro, AR - Medicare Certified Registered Nurse Anesthetist (crna)

Lisa J Shackelford, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jonesboro, Arkansas. She graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Lifelinc Anesthesia V, P.a. and her current practice location is 3024 Stadium Blvd, Jonesboro, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 227-0700.

Lisa J Shackelford is licensed to practice in Arkansas (license number CTP-000011) 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 1528074374.

Contact Information

	Lisa J Shackelford, CRNA
	3024 Stadium Blvd, Jonesboro, AR 72401-7415
	(501) 227-0700
	(501) 227-0744

Map and Direction

Provider's Profile

Full Name	Lisa J Shackelford
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	18 Years
Location	3024 Stadium Blvd, Jonesboro, Arkansas
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:

Lisa J Shackelford graduated from nursing school in 2006

NPI Data:

NPI Number: 1528074374
Provider Enumeration Date: 08/01/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9436151453
Enrollment ID: I20070205000324

Medical Identifiers

Medical identifiers for Lisa J Shackelford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528074374	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	CTP-000011 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Memorial Hospital Jonesboro, Inc.	Jonesboro, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lifelinc Anesthesia V, P.a.	8921359712	30

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. Lisa J Shackelford allows following entities to bill medicare on her behalf.

Entity Name	Arkansas Methodist Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861593816 PECOS PAC ID: 6608780119 Enrollment ID: O20031124000746

Entity Name	Baxter County Regional Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114178753 PECOS PAC ID: 0042389264 Enrollment ID: O20081212000269

Entity Name	Wake Up Satisfied Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093237182 PECOS PAC ID: 5395011795 Enrollment ID: O20171031001439

Entity Name	Oak Tree Anesthesia Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215448493 PECOS PAC ID: 3072889393 Enrollment ID: O20171031002634

Entity Name	Lifelinc Anesthesia V, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063907244 PECOS PAC ID: 8921359712 Enrollment ID: O20180918001267

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. Lisa J Shackelford 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
Lisa J Shackelford, CRNA 304 County Road 388, Jonesboro, AR 72401-0184 Ph: (870) 972-5478	Lisa J Shackelford, CRNA 3024 Stadium Blvd, Jonesboro, AR 72401-7415 Ph: (501) 227-0700

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Jonesboro, AR

Melissa Anne Cogdell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 505 E Matthews Ave Ste 303, Jonesboro, AR 72401 Phone: 870-932-4211
Lauren Martin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3024 Stadium Blvd, Jonesboro, AR 72401 Phone: 501-227-0700 Fax: 501-227-0744
James M Glisson, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 601 E Matthews Ave, Jonesboro, AR 72401 Phone: 870-935-6396 Fax: 870-935-4063
Mrs. Megan Renee Harrell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 225 E Washington Ave, Jonesboro, AR 72401 Phone: 870-207-4100
Mr. Terry Mitchel Hughes Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 909 Enterprise Dr, Jonesboro, AR 72401 Phone: 870-336-1100 Fax: 870-336-1134
Paul S Blumreich, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3024 Stadium Blvd, Jonesboro, AR 72401 Phone: 501-227-0700 Fax: 501-227-0744
Edmund Carmack, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-932-4211 Fax: 870-931-9141

Lisa J Shackelford, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Jonesboro, AR