Shukhratilla Shamshitdinov, in San Antonio, TX - Medicare Nurse Anesthetist, Certified Registered

Shukhratilla Shamshitdinov, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in San Antonio, Texas. His current practice location is 4502 Medical Dr, San Antonio, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 358-4000.

Shukhratilla Shamshitdinov is licensed to practice in Tennessee (license number 0000247482) 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 1386320851.

Contact Information

	Shukhratilla Shamshitdinov,
	4502 Medical Dr, San Antonio, TX 78229-4402
	(210) 358-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Shukhratilla Shamshitdinov
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	4502 Medical Dr, San Antonio, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386320851
Provider Enumeration Date: 06/27/2023
Last Update Date: 06/27/2023

Medicare PECOS Information:

PECOS PAC ID: 7719332584
Enrollment ID: I20231013002141

Medical Identifiers

Medical identifiers for Shukhratilla Shamshitdinov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386320851	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	0000247482 (Tennessee)	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. Shukhratilla Shamshitdinov allows following entities to bill medicare on his behalf.

Entity Name	Endo Sedation Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588931174 PECOS PAC ID: 4789845363 Enrollment ID: O20120406000221

Entity Name	Emergenchealth Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439

Entity Name	Sound Physicians Anesthesiology Of Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295356277 PECOS PAC ID: 1254751407 Enrollment ID: O20201009000612

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. Shukhratilla Shamshitdinov 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
Shukhratilla Shamshitdinov, 11106 Brussels Boy Ln, Riverview, FL 33578-6152 Ph: () -	Shukhratilla Shamshitdinov, 4502 Medical Dr, San Antonio, TX 78229-4402 Ph: (210) 358-4000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in San Antonio, TX

Daniel Travis Hart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7703 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-567-0811
Mrs. Claire Leleux Beadle, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000 Fax: 210-358-4911
Nnenna Awagu, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-567-4500
Mrs. Sherilyn Kaye Medina, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000
Brent Duffield, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, San Antonio, TX 78234 Phone: 210-916-9100
Mizraim Gomez, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-0572
Stephanie Elise Williams, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 11212 Highway 151, San Antonio, TX 78251 Phone: 210-703-8000

Shukhratilla Shamshitdinov, - Medicare Nurse Anesthetist, Certified Registered in San Antonio, TX