Ryan Thomas Shores, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Jacksonville, FL

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Ryan Thomas Shores, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jacksonville, Florida. He graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Sunshine State Anesthesia Partners Llc and his current practice location is 655 W 8th St, Ufjax - Anesthesiology Dept., Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 244-4195.

Ryan Thomas Shores is licensed to practice in Florida (license number ARNP9189425) 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 1417170978.

Contact Information

Ryan Thomas Shores, CRNA
655 W 8th St, Ufjax - Anesthesiology Dept.,
Jacksonville, FL 32209-6511
(904) 244-4195
(904) 244-4908

Map and Direction




Provider's Profile

Full NameRyan Thomas Shores
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience18 Years
Location655 W 8th St, Jacksonville, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ryan Thomas Shores graduated from nursing school in 2006
  NPI Data:
  • NPI Number: 1417170978
  • Provider Enumeration Date: 04/11/2007
  • Last Update Date: 03/20/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7416048582
  • Enrollment ID: I20070802000655

Medical Identifiers

Medical identifiers for Ryan Thomas Shores such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417170978NPI-NPPES
414491282AMedicaidGA
3082776-00MedicaidFL
414491282BMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered ARNP9189425 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hospital JacksonvilleJacksonville, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sunshine State Anesthesia Partners Llc8123434792365

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. Ryan Thomas Shores allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Florida Jacksonville Physicians, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144276452
PECOS PAC ID: 9133025869
Enrollment ID: O20040128000786
Entity NameBaker County Medical Services, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104926401
PECOS PAC ID: 6103710264
Enrollment ID: O20040210000578
Entity NameFleming Island Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487945895
PECOS PAC ID: 6002084860
Enrollment ID: O20110721000345
Entity NameSunbelt Anesthesia Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205172079
PECOS PAC ID: 9436392438
Enrollment ID: O20130823000172
Entity NameAnesthesia Dynamics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20190820001117
Entity NameSunshine State Anesthesia Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437757127
PECOS PAC ID: 8123434792
Enrollment ID: O20210305000003

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. Ryan Thomas Shores 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 AddressPractice Location Address
Ryan Thomas Shores, CRNA
Po Box 44008, Ufjp - Provider Enrollment,
Jacksonville, FL 32231-4008

Ph: (904) 244-3199		Ryan Thomas Shores, CRNA
655 W 8th St, Ufjax - Anesthesiology Dept.,
Jacksonville, FL 32209-6511

Ph: (904) 244-4195

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.