Shelli A Periard, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Argyle, New York. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Medstream Anesthesia Pllc and her current practice location is
4333 County Route 48, Argyle, New York. You can reach out to her office (for appointments etc.) via phone at
(813) 731-8231.
Shelli A Periard is licensed to practice in Florida (license number ARNP9170527) 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 1093783573.
Provider's Profile
| Full Name | Shelli A Periard |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 19 Years |
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| Location | 4333 County Route 48, Argyle, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shelli A Periard graduated from nursing school in 2005
NPI Data:
- NPI Number: 1093783573
- Provider Enumeration Date: 03/09/2006
- Last Update Date: 02/01/2013
Medicare PECOS Information:
- PECOS PAC ID: 2668480203
- Enrollment ID: I20191107001495
Medical Identifiers
Medical identifiers for Shelli A Periard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093783573 | NPI | - | NPPES |
| 307432300 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | ARNP9170527 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Medstream Anesthesia Pllc | 7416198049 | 570 |
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. Shelli A Periard allows following entities to bill medicare on her behalf.
| Entity Name | Valley Anesthesia Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275587115
PECOS PAC ID: 7416851597
Enrollment ID: O20031120000746 |
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| Entity Name | American Anesthesiology Of Virginia Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417994872
PECOS PAC ID: 6800790023
Enrollment ID: O20080812000606 |
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| Entity Name | Medstream Anesthesia Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649616160
PECOS PAC ID: 7416198049
Enrollment ID: O20130724000770 |
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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. Shelli A Periard 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 |
|---|
Shelli A Periard, CRNA
4333 County Route 48,
Argyle, NY 12809-1709
Ph: (813) 731-8231 | Shelli A Periard, CRNA
4333 County Route 48,
Argyle, NY 12809-1709
Ph: (813) 731-8231 |
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