Mrs Tina Nannette Shannon, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Charleston, WV

Mrs Tina Nannette Shannon, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Charleston, West Virginia. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Charleston Area Medical Center Inc and her current practice location is 3200 Maccorkle Ave Se, Charleston, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 388-5503.

Mrs Tina Nannette Shannon is licensed to practice in West Virginia (license number 54626) 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 1265435556.

Contact Information

Mrs Tina Nannette Shannon, CRNA
3200 Maccorkle Ave Se,
Charleston, WV 25304-1227
(304) 388-5503
Not Available



Provider's Profile

Full NameMrs Tina Nannette Shannon
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience21 Years
Location3200 Maccorkle Ave Se, Charleston, West Virginia
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 Tina Nannette Shannon graduated from nursing school in 2003
  NPI Data:
  • NPI Number: 1265435556
  • Provider Enumeration Date: 05/31/2005
  • Last Update Date: 04/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0840194791
  • Enrollment ID: I20031121000549

Medical Identifiers

Medical identifiers for Mrs Tina Nannette Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265435556NPI-NPPES
27005299700OtherWVWORKER'S COMP-MAAC
2624413MedicaidOH
270052997OtherWVTAX ID -MAAC
2601300000MedicaidWV
P00258571OtherWVMEDICARE
001713630OtherWVBCBS-MAAC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 54626 (West Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Charleston Area Medical CenterCharleston, WVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Charleston Area Medical Center Inc3375441637675

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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 Tina Nannette Shannon allows following entities to bill medicare on her behalf.
Entity NameCharleston Area Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124248752
PECOS PAC ID: 3375441637
Enrollment ID: O20031223000426

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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 Tina Nannette Shannon 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 Tina Nannette Shannon, CRNA
311 Southpointe Dr,
Charleston, WV 25314-2471

Ph: (304) 546-3081
Mrs Tina Nannette Shannon, CRNA
3200 Maccorkle Ave Se,
Charleston, WV 25304-1227

Ph: (304) 388-5503

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Nurse Anesthetist, Certified Registered Nurses in Charleston, WV

Sandra R Miles, CRNA, RN, BSN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 501 Morris St, Charleston, WV 25301
Phone: 304-388-5432    
Mrs. Hope Halstead Webb, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 800 Pennsylvania Ave, Charleston, WV 25302
Phone: 304-388-2470    
Victoria J Kitts,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 3200 Mccorkle Ave Se, Charleston, WV 25304
Phone: 304-388-9556    Fax: 304-388-9582
Meg Adair Jackson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3200 Maccorkle Ave S. E., Charleston, WV 25304
Phone: 304-388-9556    
Tiffany D. Dutton, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3200 Maccorkle Ave Se, Dept. Of Surgery, Charleston, WV 25304
Phone: 304-388-5503    Fax: 304-388-9852
Jennifer D Valdez,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304
Phone: 304-388-5432    
Melinda M. Knotts, APRN-CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304
Phone: 304-388-5503    

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