Shelly Ann Foltz, CRNA is a medicare enrolled "Anesthesiologist Assistant" in Ponte Vedra Beach, Florida. 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 Northern Florida Anesthesia Services Pllc and her current practice location is
418 Royal Tern Rd S, Ponte Vedra Beach, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 501-8985.
Shelly Ann Foltz is licensed to practice in Florida (license number ARNP1796622) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1962482794.
Provider's Profile
| Full Name | Shelly Ann Foltz |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 30 Years |
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| Location | 418 Royal Tern Rd S, Ponte Vedra Beach, Florida |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shelly Ann Foltz graduated from nursing school in 1994
NPI Data:
- NPI Number: 1962482794
- Provider Enumeration Date: 01/18/2006
- Last Update Date: 07/08/2019
Medicare PECOS Information:
- PECOS PAC ID: 8123060142
- Enrollment ID: I20050531000598
Medical Identifiers
Medical identifiers for Shelly Ann Foltz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962482794 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | ARNP 1796622 (Florida) | Secondary |
| 367H00000X | Anesthesiologist Assistant | ARNP1796622 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Northern Florida Anesthesia Services Pllc | 8527312800 | 17 |
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. Shelly Ann Foltz allows following entities to bill medicare on her behalf.
| Entity Name | Riverside Anesthesia Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134478209
PECOS PAC ID: 4688824600
Enrollment ID: O20121026000522 |
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| Entity Name | Northern Florida Anesthesia Services Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033691050
PECOS PAC ID: 8527312800
Enrollment ID: O20181127000732 |
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| Entity Name | Florida Institute Of Pain Medicine Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194056283
PECOS PAC ID: 4385769686
Enrollment ID: O20181127000946 |
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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. Shelly Ann Foltz 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 |
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Shelly Ann Foltz, CRNA
418 Royal Tern Rd S,
Ponte Vedra Beach, FL 32082-7222
Ph: (904) 501-8995 | Shelly Ann Foltz, CRNA
418 Royal Tern Rd S,
Ponte Vedra Beach, FL 32082-7222
Ph: (904) 501-8985 |
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