Shawn Michael Wynn, - Medicare Certified Registered Nurse Anesthetist (crna) in Canton, IL

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Shawn Michael Wynn, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Canton, Illinois. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Graham Hospital Association and his current practice location is 210 W Walnut St, Canton, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 647-5240.

Shawn Michael Wynn is licensed to practice in Illinois (license number 209.013769) 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 1750749826.

Contact Information

Shawn Michael Wynn,
210 W Walnut St,
Canton, IL 61520
(309) 647-5240
Not Available

Map and Direction




Provider's Profile

Full NameShawn Michael Wynn
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience9 Years
Location210 W Walnut St, Canton, Illinois
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:
  • Shawn Michael Wynn graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1750749826
  • Provider Enumeration Date: 02/04/2016
  • Last Update Date: 08/13/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4385940634
  • Enrollment ID: I20160311001665

Medical Identifiers

Medical identifiers for Shawn Michael Wynn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750749826NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 209.013769 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Graham Hospital AssociationCanton, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Graham Hospital Association276937502195

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. Shawn Michael Wynn allows following entities to bill medicare on his behalf.
Entity NameGraham Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780692087
PECOS PAC ID: 2769375021
Enrollment ID: O20040203000055
Entity NameHammond Henry Dist Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457344491
PECOS PAC ID: 0143115949
Enrollment ID: O20040505000524
Entity NameSt Mary Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982668851
PECOS PAC ID: 8628038015
Enrollment ID: O20050407000802
Entity NameOsf Healthcare System
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1811016124
PECOS PAC ID: 4284541806
Enrollment ID: O20070504000101

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. Shawn Michael Wynn 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
Shawn Michael Wynn,
210 W Walnut St,
Canton, IL 61520-2444

Ph: (309) 647-5240		Shawn Michael Wynn,
210 W Walnut St,
Canton, IL 61520

Ph: (309) 647-5240

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Canton, IL

Della Eeten, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 210 W Walnut St, Canton, IL 61520
Phone: 309-647-5240    Fax: 309-649-5110
Gerri Delost, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 210 W Walnut St, Canton, IL 61520
Phone: 309-647-5240    Fax: 309-649-5110
Ryan Deushane, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 210 W Walnut St, Canton, IL 61520
Phone: 309-339-8414    
Angela J Holthaus, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 210 W Walnut St, Canton, IL 61520
Phone: 309-647-5240    Fax: 309-649-5110
Troy Green, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 210 W Walnut St, Canton, IL 61520
Phone: 309-647-5240    

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.