Shane D Faltys, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Poplar Bluff, MO

Shane D Faltys, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Poplar Bluff, Missouri. He graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Unitypoint Health - Marshalltown and his current practice location is 2620 N Westwood Blvd, Poplar Bluff, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 718-2710.

Shane D Faltys is licensed to practice in Missouri (license number 2004031200) 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 1164640926.

Contact Information

Shane D Faltys, CRNA
2620 N Westwood Blvd,
Poplar Bluff, MO 63901-3396
(573) 718-2710
Not Available

Map and Direction




Provider's Profile

Full NameShane D Faltys
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience22 Years
Location2620 N Westwood Blvd, Poplar Bluff, Missouri
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:
  • Shane D Faltys graduated from nursing school in 2002
  NPI Data:
  • NPI Number: 1164640926
  • Provider Enumeration Date: 04/24/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9739135310
  • Enrollment ID: I20051205000192

Medical Identifiers

Medical identifiers for Shane D Faltys such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164640926NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 2004031200 (Missouri)Primary
367500000XNurse Anesthetist, Certified Registered D-102109 (Iowa)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Unitypoint Health-marshalltownMarshalltown, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Unitypoint Health - Marshalltown094158730712

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. Shane D Faltys allows following entities to bill medicare on his behalf.
Entity NameWaverly Health Center
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1033125463
PECOS PAC ID: 8820996762
Enrollment ID: O20060925000486
Entity NameUnitypoint Health - Marshalltown
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164957593
PECOS PAC ID: 0941587307
Enrollment ID: O20170608002304

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. Shane D Faltys 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
Shane D Faltys, CRNA
12747 Foxwood Pt,
Poplar Bluff, MO 63901-7746

Ph: (573) 778-3870
Shane D Faltys, CRNA
2620 N Westwood Blvd,
Poplar Bluff, MO 63901-3396

Ph: (573) 718-2710

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Poplar Bluff, MO

Ms. Shirley A Jautz, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 221 Physicians Park, Poplar Bluff, MO 63901
Phone: 573-727-9080    
Joshua Ryan Morse,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 3100 Oak Grove Rd, Poplar Bluff, MO 63901
Phone: 573-776-2000    
Timothy Paul Kordick, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901
Phone: 573-686-4111    
Roger Dean Faltys, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901
Phone: 573-727-2295    
Mr. Glenn Dean Carlton, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 621 W Pine St, Poplar Bluff, MO 63901
Phone: 573-686-4111    
Mr. Richard Leroy Crayton,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901
Phone: 573-785-7721    

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.