Mrs Connie Michelle Shively, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Ruston, LA

Mrs Connie Michelle Shively, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Ruston, Louisiana. She graduated from nursing school in 1994 and has 30 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Orthomed Staffing Llc and her current practice location is 1118 S Farmerville St, Ruston, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 723-2770.

Mrs Connie Michelle Shively is licensed to practice in Louisiana (license number 60181) 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 1689701872.

Contact Information

Mrs Connie Michelle Shively, CRNA
1118 S Farmerville St,
Ruston, LA 71270-5914
(318) 723-2770
(318) 232-1092



Provider's Profile

Full NameMrs Connie Michelle Shively
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience30 Years
Location1118 S Farmerville St, Ruston, Louisiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Connie Michelle Shively graduated from nursing school in 1994
  NPI Data:
  • NPI Number: 1689701872
  • Provider Enumeration Date: 02/27/2007
  • Last Update Date: 08/14/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1850486135
  • Enrollment ID: I20071002000146

Medical Identifiers

Medical identifiers for Mrs Connie Michelle Shively such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689701872NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 60181 (Louisiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Orthomed Staffing Llc9638429178237

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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. Mrs Connie Michelle Shively allows following entities to bill medicare on her behalf.
Entity NameJackson Parish Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093793408
PECOS PAC ID: 9335048081
Enrollment ID: O20040102000169

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Entity NameMedical Center Anesthesiologists
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669469748
PECOS PAC ID: 6608814843
Enrollment ID: O20050419001114

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Entity NameChristus Health Northern Louisiana
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801822762
PECOS PAC ID: 8628980554
Enrollment ID: O20060111000997

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Entity NameArena Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023244779
PECOS PAC ID: 4385795319
Enrollment ID: O20090702000042

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Entity NameBayou Anesthesia Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528365947
PECOS PAC ID: 0648456095
Enrollment ID: O20110519000054

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Entity NameAms Louisiana Llc
Entity TypePart B Supplier - Clinic/group Practice
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PECOS PAC ID: 3577843671
Enrollment ID: O20161207000904

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Entity NameHarold J Bayonne Jr Md Apmc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356886774
PECOS PAC ID: 2062786726
Enrollment ID: O20170919000798

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Entity NameAnesthesia Dynamics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20201020002548

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Entity NameOrthomed Staffing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225514276
PECOS PAC ID: 9638429178
Enrollment ID: O20230620003381

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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. Mrs Connie Michelle Shively 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
Mrs Connie Michelle Shively, CRNA
420 Riser Rd,
Ruston, LA 71270-9131

Ph: (318) 232-7700
Mrs Connie Michelle Shively, CRNA
1118 S Farmerville St,
Ruston, LA 71270-5914

Ph: (318) 723-2770

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Nurse Anesthetist, Certified Registered Nurses in Ruston, LA

Christopher E Lancaster, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 401 E Vaughn Ave, Ruston, LA 71270
Phone: 318-254-2454    
Janie Constance Hill, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 401 E Vaughn Ave, Ruston, LA 71270
Phone: 318-254-2557    
Mr. Gregory Allen Strickland Jr., CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 401 E Vaughn Ave, Ruston, LA 71270
Phone: 318-254-2557    
Mr. John Harris, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1118 S Farmerville St, Ruston, LA 71270
Phone: 318-232-7700    Fax: 318-232-7148
Mr. Jody D Adams, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1118 S Farmerville St, Ruston, LA 71270
Phone: 318-232-7119    Fax: 318-232-1092
Jennifer Hausgen Lowery, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1118 S Farmerville St, Medical Staff Services, Ruston, LA 71270
Phone: 318-232-1092    
Patricia D Volentine, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 401 E Vaughn Ave, Ruston, LA 71270
Phone: 318-254-2100    Fax: 318-254-2557

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