Shannon Bormann, CRNA in Lafayette, IN - Medicare Certified Registered Nurse Anesthetist (crna)

Shannon Bormann, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lafayette, Indiana. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Arnett Clinic Llc, Aas Indiana Llc and her current practice location is 2600 Greenbush St, Lafayette, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 448-8000.

Shannon Bormann is licensed to practice in Indiana (license number 28199577A) 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 1912427188.

Contact Information

	Shannon Bormann, CRNA
	2600 Greenbush St, Lafayette, IN 47904-2477
	(765) 448-8000
	(765) 838-5150

Map and Direction

Provider's Profile

Full Name	Shannon Bormann
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	7 Years
Location	2600 Greenbush St, Lafayette, Indiana
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:

Shannon Bormann graduated from nursing school in 2017

NPI Data:

NPI Number: 1912427188
Provider Enumeration Date: 06/20/2017
Last Update Date: 03/10/2021

Medicare PECOS Information:

PECOS PAC ID: 4082972138
Enrollment ID: I20171218002676

Medical Identifiers

Medical identifiers for Shannon Bormann such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912427188	NPI	-	NPPES
300009668	Medicaid	IN
000001135802	Other	IN	ANTHEM PROVIDER NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	28199577A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Indiana University Health Arnett Hospital	Lafayette, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Arnett Clinic Llc	0749184380	382
Aas Indiana Llc	4688045115	54

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. Shannon Bormann allows following entities to bill medicare on her behalf.

Entity Name	Arnett Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119

Entity Name	Evin Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912540931 PECOS PAC ID: 2163850413 Enrollment ID: O20200319001463

Entity Name	Aas Indiana Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831827021 PECOS PAC ID: 4688045115 Enrollment ID: O20230120001025

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. Shannon Bormann 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
Shannon Bormann, CRNA Po Box 5545, Lafayette, IN 47903-5545 Ph: (765) 448-8000	Shannon Bormann, CRNA 2600 Greenbush St, Lafayette, IN 47904-2477 Ph: (765) 448-8000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Lafayette, IN

Roger E. Brown, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000
Rhiannon H Mccarty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000
James M Mclaughlin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-838-4758
Dora Renee Green, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000
Jeffrey Hood, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000
Brianne Nicole Caniglia, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000
Dana Leanne Lemnus, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-838-4758

Shannon Bormann, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Lafayette, IN