Mr Shannon D Dale Hall, CRNA in New Haven, CT - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Shannon D Dale Hall, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in New Haven, Connecticut. He graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Prisma Health University Medical Group and his current practice location is 500 College St, Yale New Haven Hospital, New Haven, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 432-2700.

Mr Shannon D Dale Hall is licensed to practice in South Carolina (license number 20635) 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 1821098930.

Contact Information

	Mr Shannon D Dale Hall, CRNA
	500 College St, Yale New Haven Hospital, New Haven, CT 06511-8962
	(203) 432-2700
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Shannon D Dale Hall
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	21 Years
Location	500 College St, New Haven, Connecticut
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Shannon D Dale Hall graduated from nursing school in 2003

NPI Data:

NPI Number: 1821098930
Provider Enumeration Date: 07/29/2005
Last Update Date: 12/21/2021

Medicare PECOS Information:

PECOS PAC ID: 3870490907
Enrollment ID: I20170206001726

Medical Identifiers

Medical identifiers for Mr Shannon D Dale Hall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821098930	NPI	-	NPPES
PENDING	Medicaid	SC
74007634	Medicaid	KY
3634996	Medicaid	TN
4072296	Other	TN	BCBS NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	071173 (Tennessee)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	003790 (Connecticut)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	20635 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Prisma Health Richland Hospital	Columbia, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Prisma Health University Medical Group	8325950983	2206

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. Mr Shannon D Dale Hall allows following entities to bill medicare on his behalf.

Entity Name	Prisma Health University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238

Entity Name	Prisma Health-midlands
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205889458 PECOS PAC ID: 6800708330 Enrollment ID: O20031110000506

Entity Name	Greenville Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568532513 PECOS PAC ID: 8123938131 Enrollment ID: O20031212000723

Entity Name	Prisma Health-upstate
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649726738 PECOS PAC ID: 5698063162 Enrollment ID: O20161222000767

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. Mr Shannon D Dale Hall 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
Mr Shannon D Dale Hall, CRNA 640 Urlacher Dr, Murfreesboro, TN 37129-8998 Ph: (615) 796-0057	Mr Shannon D Dale Hall, CRNA 500 College St, Yale New Haven Hospital, New Haven, CT 06511-8962 Ph: (203) 432-2700

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in New Haven, CT

John A Vanjah, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-785-2802 Fax: 203-785-6664
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Dr. Dawn J Cook, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Cedar St # 3, New Haven, CT 06510 Phone: 203-785-2802
Mrs. Carmen Lydia Brown, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1423 Chapel St, New Haven, CT 06511 Phone: 203-789-3538
Danielle Marie Draper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 20 York St, New Haven, CT 06510 Phone: 336-716-6701
Mr. Christopher Richard Lieder, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 20 York St, New Haven, CT 06510 Phone: 860-986-3149
Mr. Corry Tunstall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-785-2802

Mr Shannon D Dale Hall, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in New Haven, CT