Mrs Tina Nannette Shannon, CRNA in Charleston, WV - Medicare Certified Registered Nurse Anesthetist (crna)

Mrs Tina Nannette Shannon, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Charleston, West Virginia. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Charleston Area Medical Center Inc and her current practice location is 3200 Maccorkle Ave Se, Charleston, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 388-5503.

Mrs Tina Nannette Shannon is licensed to practice in West Virginia (license number 54626) 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 1265435556.

Contact Information

	Mrs Tina Nannette Shannon, CRNA
	3200 Maccorkle Ave Se, Charleston, WV 25304-1227
	(304) 388-5503
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Tina Nannette Shannon
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	21 Years
Location	3200 Maccorkle Ave Se, Charleston, West Virginia
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:

Mrs Tina Nannette Shannon graduated from nursing school in 2003

NPI Data:

NPI Number: 1265435556
Provider Enumeration Date: 05/31/2005
Last Update Date: 04/17/2024

Medicare PECOS Information:

PECOS PAC ID: 0840194791
Enrollment ID: I20031121000549

Medical Identifiers

Medical identifiers for Mrs Tina Nannette Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265435556	NPI	-	NPPES
27005299700	Other	WV	WORKER'S COMP-MAAC
2624413	Medicaid	OH
270052997	Other	WV	TAX ID -MAAC
2601300000	Medicaid	WV
P00258571	Other	WV	MEDICARE
001713630	Other	WV	BCBS-MAAC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	54626 (West Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Charleston Area Medical Center Inc	3375441637	674

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. Mrs Tina Nannette Shannon allows following entities to bill medicare on her behalf.

Entity Name	Charleston Area Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426

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. Mrs Tina Nannette Shannon 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
Mrs Tina Nannette Shannon, CRNA 311 Southpointe Dr, Charleston, WV 25314-2471 Ph: (304) 546-3081	Mrs Tina Nannette Shannon, CRNA 3200 Maccorkle Ave Se, Charleston, WV 25304-1227 Ph: (304) 388-5503

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Charleston, WV

Sandra R Miles, CRNA, RN, BSN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 Morris St, Charleston, WV 25301 Phone: 304-388-5432
Mrs. Hope Halstead Webb, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Pennsylvania Ave, Charleston, WV 25302 Phone: 304-388-2470
Victoria J Kitts, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3200 Mccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-9556 Fax: 304-388-9582
Meg Adair Jackson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave S. E., Charleston, WV 25304 Phone: 304-388-9556
Tiffany D. Dutton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Dept. Of Surgery, Charleston, WV 25304 Phone: 304-388-5503 Fax: 304-388-9852
Jennifer D Valdez, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-5432
Christopher S Mullins, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-688-0228

Mrs Tina Nannette Shannon, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Charleston, WV