Shawn Michael Kotlyn, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Broadview Heights, OH

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Shawn Michael Kotlyn, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Broadview Heights, Ohio. He graduated from nursing school in 1996 and has 28 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Southwest Ohio Anesthesia Consultants Llc, Dayton Anesthesia And Pain Services Llc, Anesthesiology Services Network Ltd and his current practice location is 1414 Honeygold Ln, Broadview Heights, Ohio. You can reach out to his office (for appointments etc.) via phone at (440) 570-4022.

Shawn Michael Kotlyn is licensed to practice in Ohio (license number RN268118 / NA06661) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619991031.

Contact Information

Shawn Michael Kotlyn, CRNA
1414 Honeygold Ln,
Broadview Heights, OH 44147-3630
(440) 570-4022
Not Available

Map and Direction




Provider's Profile

Full NameShawn Michael Kotlyn
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience28 Years
Location1414 Honeygold Ln, Broadview Heights, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shawn Michael Kotlyn graduated from nursing school in 1996
  NPI Data:
  • NPI Number: 1619991031
  • Provider Enumeration Date: 07/27/2006
  • Last Update Date: 01/10/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7113952052
  • Enrollment ID: I20050929000630

Medical Identifiers

Medical identifiers for Shawn Michael Kotlyn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619991031NPI-NPPES
2287583MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN268118 / NA06661 (Ohio)Primary
367500000XNurse Anesthetist, Certified Registered RN572172 (Pennsylvania)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Summa Health SystemAkron, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southwest Ohio Anesthesia Consultants Llc6901700640363
Dayton Anesthesia And Pain Services Llc8022245372195
Anesthesiology Services Network Ltd8820902794176

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. Shawn Michael Kotlyn allows following entities to bill medicare on his behalf.
Entity NameAnesthesiology Services Network Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821076779
PECOS PAC ID: 8820902794
Enrollment ID: O20031114000467
Entity NameSouthwest Ohio Anesthesia Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588645188
PECOS PAC ID: 6901700640
Enrollment ID: O20031124000399
Entity NameNorthstar Anesthesia Of Ohio Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417276429
PECOS PAC ID: 3173648300
Enrollment ID: O20100927000005
Entity NameLegacy Anesthesia Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760741292
PECOS PAC ID: 3274777180
Enrollment ID: O20130916000401
Entity NameDayton Anesthesia & Pain Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629401898
PECOS PAC ID: 8022245372
Enrollment ID: O20131212001655

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. Shawn Michael Kotlyn 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
Shawn Michael Kotlyn, CRNA
1414 Honeygold Ln,
Broadview Heights, OH 44147-3630

Ph: (440) 570-4022		Shawn Michael Kotlyn, CRNA
1414 Honeygold Ln,
Broadview Heights, OH 44147-3630

Ph: (440) 570-4022

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Broadview Heights, OH

Agina M. Kempen, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 340 Countryside Dr, Broadview Heights, OH 44147
Phone: 412-860-1976    
Ms. Janice Ann Mcfadden, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 125 Turnberry Xing, Broadview Heights, OH 44147
Phone: 440-666-3883    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.