Mr Stetler Ladd Shumway, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Monticello, Utah. He went to University Of South Carolina School Of Medicine and graduated in 2021 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Novus Colorado Professional Corporation, Tuba City Regional Health Care Corporation and his current practice location is
380 W 100 N, Monticello, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 587-2116.
Mr Stetler Ladd Shumway is licensed to practice in Utah (license number 9124570-8901) 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 1902474893.
Provider's Profile
| Full Name | Mr Stetler Ladd Shumway |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 4 Years |
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| Location | 380 W 100 N, Monticello, Utah |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Stetler Ladd Shumway attended and graduated from University Of South Carolina School Of Medicine in 2021
NPI Data:
- NPI Number: 1902474893
- Provider Enumeration Date: 06/16/2021
- Last Update Date: 12/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 3870997232
- Enrollment ID: I20250117001794
Medical Identifiers
Medical identifiers for Mr Stetler Ladd Shumway such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902474893 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 247971 (South Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | C-APN.0102249-C-CRNA (Colorado) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 9124570-8901 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Novus Colorado Professional Corporation | 0840694774 | 6 |
| Tuba City Regional Health Care Corporation | 4284542531 | 151 |
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 Stetler Ladd Shumway allows following entities to bill medicare on his behalf.
| Entity Name | Upper San Juan Health Service District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659523058
PECOS PAC ID: 2769571892
Enrollment ID: O20090817000200 |
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| Entity Name | Novus Colorado Professional Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437723640
PECOS PAC ID: 0840694774
Enrollment ID: O20210813002050 |
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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 Stetler Ladd Shumway 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 Stetler Ladd Shumway, CRNA
2801 N Blue Mountain Rd,
Blanding, UT 84511-2012
Ph: (435) 459-2616 | Mr Stetler Ladd Shumway, CRNA
380 W 100 N,
Monticello, UT 84535
Ph: (435) 587-2116 |
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