Shanita Dominique George, CRNA in Concord, NC - Medicare Nurse Anesthetist, Certified Registered

Shanita Dominique George, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Concord, North Carolina. Her current practice location is 920 Church Street N., Concord, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 403-3000.

Shanita Dominique George is licensed to practice in North Carolina (license number 7200) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1992494793.

Contact Information

	Shanita Dominique George, CRNA
	920 Church Street N., Concord, NC 28025
	(704) 403-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Shanita Dominique George
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	920 Church Street N., Concord, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992494793
Provider Enumeration Date: 05/08/2023
Last Update Date: 10/14/2024

Medicare PECOS Information:

PECOS PAC ID: 1456711936
Enrollment ID: I20230714003338

Medical Identifiers

Medical identifiers for Shanita Dominique George such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992494793	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	293121 (North Carolina)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	144233 (North Carolina)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	7200 (North Carolina)	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. Shanita Dominique George allows following entities to bill medicare on her behalf.

Entity Name	Chs Anesthesia Services Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346649415 PECOS PAC ID: 5799007324 Enrollment ID: O20141209001856

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. Shanita Dominique George 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
Shanita Dominique George, CRNA 1221 Blu Steele Way, Pineville, NC 28134-8336 Ph: (919) 464-1870	Shanita Dominique George, CRNA 920 Church Street N., Concord, NC 28025 Ph: (704) 403-3000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Concord, NC

Gail Sutton Wooley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-355-2000
Justice L Edmond, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-403-3000
Terri Crockett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-783-4235
Mary Jean Detchemendy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-783-4235 Fax: 704-783-2527
Mr. Michael T Roberts, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-783-1622 Fax: 704-783-2527
Janet Patty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-783-4235
Virginia Norris Rogers, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 920 Church St N, Concord, NC 28025 Phone: 704-783-4235

Shanita Dominique George, CRNA - Medicare Nurse Anesthetist, Certified Registered in Concord, NC