Shannon Killian Patrick, CRNA in Fresno, CA - Medicare Certified Registered Nurse Anesthetist (crna)

Shannon Killian Patrick, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fresno, California. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesiology Consultants Of Treasure Valley Pllc, West Idaho Anesthesia, Llp, West Idaho Anesthesia, Llp and his current practice location is 2823 Fresno St, Fresno, California. You can reach out to his office (for appointments etc.) via phone at (559) 459-6000.

Shannon Killian Patrick is licensed to practice in California (license number 95000756) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1871010702.

Contact Information

	Shannon Killian Patrick, CRNA
	2823 Fresno St, Fresno, CA 93721-1324
	(559) 459-6000
	Not Available

Map and Direction

Provider's Profile

Full Name	Shannon Killian Patrick
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	7 Years
Location	2823 Fresno St, Fresno, California
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shannon Killian Patrick graduated from nursing school in 2017

NPI Data:

NPI Number: 1871010702
Provider Enumeration Date: 08/22/2017
Last Update Date: 08/22/2017

Medicare PECOS Information:

PECOS PAC ID: 8820353550
Enrollment ID: I20220107000899

Medical Identifiers

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

Identifier	Type	State	Issuer
1871010702	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	95000756 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Treasure Valley Hospital	Boise, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Anesthesiology Consultants Of Treasure Valley Pllc	4981661196	18
West Idaho Anesthesia, Llp	9133343031	13
West Idaho Anesthesia, Llp	9133343031	13

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 Killian Patrick allows following entities to bill medicare on his behalf.

Entity Name	Anesthesiology Consultants Of Treasure Valley Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124066063 PECOS PAC ID: 4981661196 Enrollment ID: O20041220000096

Entity Name	West Idaho Anesthesia, Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871918318 PECOS PAC ID: 9133343031 Enrollment ID: O20140616001943

Entity Name	Walter Knox Memorial Hospital
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1063419018 PECOS PAC ID: 7012907785 Enrollment ID: O20160721000463

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 Killian Patrick 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 Killian Patrick, CRNA 6125 W Pinedale Ave, Fresno, CA 93722-2639 Ph: () -	Shannon Killian Patrick, CRNA 2823 Fresno St, Fresno, CA 93721-1324 Ph: (559) 459-6000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fresno, CA

Dr. Joseph William Martin, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Fresno & R Street, Fresno, CA 93721 Phone: 559-459-6000
Dr. Thomas Fuentez Jr., CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1303 E Herndon Ave, Fresno, CA 93720 Phone: 559-450-3000
Nathan J Adams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-459-4349 Fax: 559-459-4103
Saul Armando Perez Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7417 N Cedar Ave, Fresno, CA 93720 Phone: 559-436-0871
Vernon Chad Nielsen, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-459-6000
Dr. Jorge Lopez, DNAP Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 145 N Diana St, Fresno, CA 93701 Phone: 559-940-4177
Casey Jordan Elison, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-459-6000 Fax: 559-498-8182

Shannon Killian Patrick, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Fresno, CA