Shane Tyler Martin, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Little Rock, AR

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Shane Tyler Martin, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Little Rock, Arkansas. He graduated from nursing school in 2022 and has 2 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Youngs Professional Services Llc, Ans Services Of Arkansas Pa, St Vincent Medical Group, Lifelinc Anesthesia V, P.a. and his current practice location is 701 Rahling Rd Apt 2420, Little Rock, Arkansas. You can reach out to his office (for appointments etc.) via phone at (580) 774-9274.

Shane Tyler Martin is licensed to practice in Arkansas (license number 220519) 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 1083361257.

Contact Information

Shane Tyler Martin, CRNA
701 Rahling Rd Apt 2420,
Little Rock, AR 72223-5297
(580) 774-9274
Not Available

Map and Direction




Provider's Profile

Full NameShane Tyler Martin
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience2 Years
Location701 Rahling Rd Apt 2420, Little Rock, Arkansas
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 Tyler Martin graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1083361257
  • Provider Enumeration Date: 03/07/2022
  • Last Update Date: 05/24/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1355723362
  • Enrollment ID: I20220830000421

Medical Identifiers

Medical identifiers for Shane Tyler Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083361257NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 220519 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Chi-st Vincent InfirmaryLittle rock, ARHospital
Baptist Health - Fort SmithFort smith, ARHospital
St Vincent Hot SpringsHot springs, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Youngs Professional Services Llc2163524992148
Ans Services Of Arkansas Pa448600259948
St Vincent Medical Group5698758803204
Lifelinc Anesthesia V, P.a.892135971230

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 Tyler Martin allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Arkansas For Medical Sciences
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588654016
PECOS PAC ID: 4082528955
Enrollment ID: O20031219000706
Entity NameUniversity Of Arkansas For Medical Sciences
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346230968
PECOS PAC ID: 4082528955
Enrollment ID: O20040115000431
Entity NameArkansas Health Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508800962
PECOS PAC ID: 7911802079
Enrollment ID: O20040331000754
Entity NameSt Vincent Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134176480
PECOS PAC ID: 5698758803
Enrollment ID: O20040622000224
Entity NameCentral Arkansas Radiation Therapy Institute Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508147810
PECOS PAC ID: 7810068400
Enrollment ID: O20111019000931
Entity NameMcgowan Court Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982955621
PECOS PAC ID: 9739330499
Enrollment ID: O20121107000077
Entity NameSouthern Regional Anesthesiology Consultants Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902231673
PECOS PAC ID: 2961633870
Enrollment ID: O20140318000757
Entity NameLifelinc Anesthesia V, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063907244
PECOS PAC ID: 8921359712
Enrollment ID: O20180918001267
Entity NameYoungs Professional Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922178599
PECOS PAC ID: 2163524992
Enrollment ID: O20200218000624
Entity NameAns Services Of Arkansas Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699558387
PECOS PAC ID: 4486002599
Enrollment ID: O20231130001281

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 Tyler Martin 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 Tyler Martin, CRNA
701 Rahling Rd Apt 2420,
Little Rock, AR 72223-5297

Ph: (580) 774-9274		Shane Tyler Martin, CRNA
701 Rahling Rd Apt 2420,
Little Rock, AR 72223-5297

Ph: (580) 774-9274

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.