Shannon Lacey Staten, CRNA in Vidalia, GA - Medicare Certified Registered Nurse Anesthetist (crna)

Shannon Lacey Staten, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Vidalia, Georgia. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Se Georgia Anesthesia, Llc and her current practice location is 1 Meadows Pkwy, Vidalia, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 538-5537.

Shannon Lacey Staten is licensed to practice in Georgia (license number RN188967) 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 1437421773.

Contact Information

	Shannon Lacey Staten, CRNA
	1 Meadows Pkwy, Vidalia, GA 30474-8759
	(912) 538-5537
	Not Available

Map and Direction

Provider's Profile

Full Name	Shannon Lacey Staten
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	13 Years
Location	1 Meadows Pkwy, Vidalia, Georgia
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 Lacey Staten graduated from nursing school in 2011

NPI Data:

NPI Number: 1437421773
Provider Enumeration Date: 02/02/2012
Last Update Date: 08/27/2015

Medicare PECOS Information:

PECOS PAC ID: 2668631151
Enrollment ID: I20120301000559

Medical Identifiers

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

Identifier	Type	State	Issuer
1437421773	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN188967 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Meadows Regional Medical Center	Vidalia, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Se Georgia Anesthesia, Llc	8426466137	105

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 Lacey Staten allows following entities to bill medicare on her behalf.

Entity Name	Se Georgia Anesthesia, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518542919 PECOS PAC ID: 8426466137 Enrollment ID: O20210419001856

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 Lacey Staten 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 Lacey Staten, CRNA Po Box 1303, Vidalia, GA 30475-1303 Ph: (912) 538-5537	Shannon Lacey Staten, CRNA 1 Meadows Pkwy, Vidalia, GA 30474-8759 Ph: (912) 538-5537

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Vidalia, GA

Brandon Reeves Blount, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 535-912-5894
Daniel Tyler Harris, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-538-5537 Fax: 912-538-5228
Damon Keith Jessup, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-538-5537 Fax: 912-538-5228
Timothy Roose, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: One Meadows Pkwy, Vidalia, GA 30474 Phone: 912-538-5359 Fax: 912-538-5228
Ann Marie Chalker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-538-5359 Fax: 912-538-5228

Shannon Lacey Staten, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Vidalia, GA