Shane Richard Smith, CRNA in Fairbanks, AK - Medicare Nurse Anesthetist, Certified Registered

Shane Richard Smith, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fairbanks, Alaska. His current practice location is 1650 Cowles St, Fairbanks, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 452-8181.

Shane Richard Smith is licensed to practice in Alaska (license number 145179) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063137677.

Contact Information

	Shane Richard Smith, CRNA
	1650 Cowles St, Fairbanks, AK 99701-5907
	(907) 452-8181
	Not Available

Map and Direction

Provider's Profile

Full Name	Shane Richard Smith
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1650 Cowles St, Fairbanks, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063137677
Provider Enumeration Date: 10/05/2022
Last Update Date: 10/05/2022

Medicare PECOS Information:

PECOS PAC ID: 3870962574
Enrollment ID: I20221219001645

Medical Identifiers

Medical identifiers for Shane Richard Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063137677	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	145179 (Alaska)	Primary

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 Richard Smith allows following entities to bill medicare on his behalf.

Entity Name	Tanana Valley Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922559558 PECOS PAC ID: 5698056901 Enrollment ID: O20161228001991

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 Richard Smith 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
Shane Richard Smith, CRNA 2 N 3000 E, Sugar City, ID 83448-1220 Ph: (360) 600-7852	Shane Richard Smith, CRNA 1650 Cowles St, Fairbanks, AK 99701-5907 Ph: (907) 452-8181

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fairbanks, AK

Margaret Claire Quirion, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-458-3000
Mr. Danny Joe Roth, CRNA, APN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-388-6852
Priscilla Stoddard, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 800-945-9877 Fax: 801-733-5618
Brittany Marie Hosler Belknap, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-459-3500
Ms. Kathryn Marlene Wilson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1275 Sadler Way, Ste 202, Fairbanks, AK 99701 Phone: 907-452-4101
Michaela Long, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 800-945-9877 Fax: 801-733-5618

Shane Richard Smith, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fairbanks, AK