Shawn Raphael Gumbs, - Medicare Nurse Anesthetist, Certified Registered in Mineola, NY

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Shawn Raphael Gumbs, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mineola, New York. His current practice location is 259 1st St, Mineola, New York. You can reach out to his office (for appointments etc.) via phone at (347) 385-9028.

Shawn Raphael Gumbs is licensed to practice in New York (license number 121631) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1568970044.

Contact Information

Shawn Raphael Gumbs,
259 1st St,
Mineola, NY 11501-3957
(347) 385-9028
(718) 528-0611

Map and Direction




Provider's Profile

Full NameShawn Raphael Gumbs
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location259 1st St, Mineola, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568970044
  • Provider Enumeration Date: 01/18/2018
  • Last Update Date: 03/07/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3072877158
  • Enrollment ID: I20180426001840

Medical Identifiers

Medical identifiers for Shawn Raphael Gumbs such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568970044NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 584827-1 (New York)Secondary
367500000XNurse Anesthetist, Certified Registered 121631 (New York)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. Shawn Raphael Gumbs allows following entities to bill medicare on his behalf.
Entity NameLong Island Anesthesia Physicians Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952387276
PECOS PAC ID: 7113825381
Enrollment ID: O20040106000103
Entity NameNorth American Partners In Anesthesia Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649264706
PECOS PAC ID: 7719885771
Enrollment ID: O20040108000176
Entity NameMemorial Anesthesiology Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467423020
PECOS PAC ID: 8729977129
Enrollment ID: O20040313000040
Entity NameNew York University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851456701
PECOS PAC ID: 1355232422
Enrollment ID: O20040329001569
Entity NameUpstate Anesthesia Services, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629272141
PECOS PAC ID: 0840383857
Enrollment ID: O20070907000237
Entity NameEastside Alliance Medical Associates, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619136595
PECOS PAC ID: 3173698255
Enrollment ID: O20080825000495

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 Raphael Gumbs 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 Raphael Gumbs,
23502 118th Ave Apt 2,
Cambria Heights, NY 11411-1816

Ph: (347) 385-9028		Shawn Raphael Gumbs,
259 1st St,
Mineola, NY 11501-3957

Ph: (347) 385-9028

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Mineola, NY

Virginia O'connor, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 259 1st St, Mineola, NY 11501
Phone: 516-663-0333    
James Jacob,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 259 1st St, Mineola, NY 11501
Phone: 516-663-0333    
Terrence Mcdonough,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 259 1st St, Mineola, NY 11501
Phone: 516-663-0333    
Edward Mcdonnell,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 259 1st St, Mineola, NY 11501
Phone: 516-663-0333    
Elizabeth Lawton, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 110 Willis Ave, Mineola, NY 11501
Phone: 516-294-0030    
Lisa Lynch, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 110 Willis Ave, Mineola, NY 11501
Phone: 516-294-0030    
Susan Fackelman,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 259 1st St, Mineola, NY 11501
Phone: 516-663-0333    

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.