Shayne Hauglum, CRNA in North Conway, NH - Medicare Nurse Anesthetist, Certified Registered

Shayne Hauglum, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in North Conway, New Hampshire. His current practice location is 3073 White Mountain Hwy, North Conway, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 356-5461.

Shayne Hauglum is licensed to practice in Florida (license number APRN9336042) 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 1821087685.

Contact Information

	Shayne Hauglum, CRNA
	3073 White Mountain Hwy, North Conway, NH 03860-5111
	(603) 356-5461
	(603) 356-7651

Map and Direction

Provider's Profile

Full Name	Shayne Hauglum
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	3073 White Mountain Hwy, North Conway, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821087685
Provider Enumeration Date: 10/14/2005
Last Update Date: 01/19/2024

Medicare PECOS Information:

PECOS PAC ID: 7911811161
Enrollment ID: I20170906001230

Medical Identifiers

Medical identifiers for Shayne Hauglum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821087685	NPI	-	NPPES
010732448	Other	NH	TRICARE WHITE MTN ANESTH.
NI1211	Other	NH	ACS INDIVIDUAL
NI1207	Other	NH	ACS WHITE MTN ANESTHESIA
276054	Other	NH	HARVARD INDIVIDUAL
40Y003831NH01	Other	NH	ANTHEM INDIVIDUAL
693984	Other	NH	TUFTS INDIVIDUAL
135830000	Medicaid	ME
30342370	Medicaid	NH
237640099	Medicaid	ME
50Y152300MA01	Other	NH	ANTHEM WHITE MTN ANESTH.

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	048592311 (New Hampshire)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	APRN9336042 (Florida)	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. Shayne Hauglum allows following entities to bill medicare on his behalf.

Entity Name	Public Health Trust Of Miami Dade County Florida
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134384423 PECOS PAC ID: 0244380434 Enrollment ID: O20090610000019

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. Shayne Hauglum 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
Shayne Hauglum, CRNA 1611 Nw 12th Ave, Miami, FL 33136-1005 Ph: (305) 585-6586	Shayne Hauglum, CRNA 3073 White Mountain Hwy, North Conway, NH 03860-5111 Ph: (603) 356-5461

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in North Conway, NH

Mr. David Kent Esmay, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3073 White Mtn Hwy, The Memorial Hosp/anesthesia Dept, North Conway, NH 03860 Phone: 603-356-5467
Tawnya J Lopez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3073 White Mountain Hwy, North Conway, NH 03860 Phone: 603-356-5461
Ms. Kelly Catherine Defeo, CRNA , APRN, PHD Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1857 White Mountain Hwy, North Conway, NH 03860 Phone: 603-730-5356 Fax: 603-730-5477
Ashley Cyr, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3073 White Mountain Hwy, North Conway, NH 03860 Phone: 912-484-7334
Mr. Sean M. O'brien, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3073 White Mtn Hwy, Anesthesia Department, North Conway, NH 03860 Phone: 603-356-5461 Fax: 603-356-7651

Shayne Hauglum, CRNA - Medicare Nurse Anesthetist, Certified Registered in North Conway, NH