Randy R Shaver, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Southwick, Massachusetts. His current practice location is
1 Hummingbird Holw, Southwick, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(413) 569-0964.
Randy R Shaver is licensed to practice in Connecticut (license number 003788) 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 1164487351.
Provider's Profile
Full Name | Randy R Shaver |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 1 Hummingbird Holw, Southwick, Massachusetts |
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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. |
Medical Education and Training:
- Randy R Shaver attended and graduated from in
NPI Data:
- NPI Number: 1164487351
- Provider Enumeration Date: 04/19/2006
- Last Update Date: 08/05/2016
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Randy R Shaver such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164487351 | NPI | - | NPPES |
309102300 | Medicaid | FL | |
ARNP 9259958 | Other | FL | FLA. ARNP# TAXONOMY FIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 9259958 (Florida) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 180430 (Massachusetts) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 003788 (Connecticut) | Primary |
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. Randy R Shaver 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 |
Randy R Shaver, CRNA 40 Beach Rd, Old Saybrook, CT 06475-2802 Ph: (413) 569-0964 | Randy R Shaver, CRNA 1 Hummingbird Holw, Southwick, MA 01077-9530 Ph: (413) 569-0964 |
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