Samantha M Shankle, CRNA in Rochester, MI - Medicare Certified Registered Nurse Anesthetist (crna)

Samantha M Shankle, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Rochester, Michigan. She graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Axon Anesthesia Consultants Plc, Ascension Providence Rochester Hospital and her current practice location is 1101 W University Dr, Rochester, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 652-5354.

Samantha M Shankle is licensed to practice in Michigan (license number 4704239106) 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 1881731024.

Contact Information

	Samantha M Shankle, CRNA
	1101 W University Dr, Rochester, MI 48307-1863
	(248) 652-5354
	(248) 652-5861

Map and Direction

Provider's Profile

Full Name	Samantha M Shankle
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	18 Years
Location	1101 W University Dr, Rochester, Michigan
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:

Samantha M Shankle graduated from nursing school in 2006

NPI Data:

NPI Number: 1881731024
Provider Enumeration Date: 01/30/2007
Last Update Date: 04/11/2017

Medicare PECOS Information:

PECOS PAC ID: 1355445156
Enrollment ID: I20070404000341

Medical Identifiers

Medical identifiers for Samantha M Shankle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881731024	NPI	-	NPPES
11904296	Other		CAQH
F36455226	Other		CHMC MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4704239106 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension Providence - Crittenton Hospital Medical Center	Rochester, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Axon Anesthesia Consultants Plc	7012276819	18
Ascension Providence Rochester Hospital	8820994098	89

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. Samantha M Shankle allows following entities to bill medicare on her behalf.

Entity Name	Ascension Providence Rochester Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235252321 PECOS PAC ID: 8820994098 Enrollment ID: O20031209000552

Entity Name	Superior Anesthetists Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831144518 PECOS PAC ID: 5890784987 Enrollment ID: O20040512000785

Entity Name	Asa Staffing Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114378981 PECOS PAC ID: 3971898644 Enrollment ID: O20160818002713

Entity Name	Axon Anesthesia Consultants Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235643495 PECOS PAC ID: 7012276819 Enrollment ID: O20180124003392

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. Samantha M Shankle 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
Samantha M Shankle, CRNA 1101 W University Dr, Rochester, MI 48307-1863 Ph: (248) 652-5354	Samantha M Shankle, CRNA 1101 W University Dr, Rochester, MI 48307-1863 Ph: (248) 652-5354

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Rochester, MI

Mr. Dominic John Tironi, CRNA, DNAP Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1101 W University Dr, Rochester, MI 48307 Phone: 248-652-5000
Donna A Dzialo, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1101 West University Drive, Crittenton Hospital Medical Center, Rochester, MI 48307 Phone: 248-652-5354 Fax: 248-652-5861
Daniel Joost, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1101 W University Dr, Rochester, MI 48307 Phone: 248-652-5000
David L Becker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1101 W University Dr, Rochester, MI 48307 Phone: 248-652-5354
Mary Anne Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1101 W University Dr, Rochester, MI 48307 Phone: 248-652-5354 Fax: 248-652-5861
Mr. Christopher Thomas Pichette, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1101 W University Dr, Rochester, MI 48307 Phone: 248-652-5354 Fax: 248-652-5861
Mrs. Lynsey Marie Bagos, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1101 W University Dr, Rochester, MI 48307 Phone: 248-652-5354 Fax: 248-652-5861

Samantha M Shankle, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Rochester, MI