Shibin Mathew, CRNA in Brooksville, FL - Medicare Nurse Anesthetist, Certified Registered

Shibin Mathew, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Brooksville, Florida. His current practice location is 11375 Cortez Blvd, Brooksville, Florida. You can reach out to his office (for appointments etc.) via phone at (352) 596-6632.

Shibin Mathew is licensed to practice in Florida (license number APRN11023875) 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 1851099600.

Contact Information

	Shibin Mathew, CRNA
	11375 Cortez Blvd, Brooksville, FL 34613-5409
	(352) 596-6632
	Not Available

Map and Direction

Provider's Profile

Full Name	Shibin Mathew
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	11375 Cortez Blvd, Brooksville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851099600
Provider Enumeration Date: 02/21/2023
Last Update Date: 02/21/2023

Medicare PECOS Information:

PECOS PAC ID: 7911362819
Enrollment ID: I20230428000084

Medical Identifiers

Medical identifiers for Shibin Mathew such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851099600	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	APRN11023875 (Florida)	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. Shibin Mathew allows following entities to bill medicare on his behalf.

Entity Name	Sunshine State Anesthesia Partners Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437757127 PECOS PAC ID: 8123434792 Enrollment ID: O20210305000003

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. Shibin Mathew 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
Shibin Mathew, CRNA 17344 Fountainside Loop Apt 304, Lutz, FL 33558-5598 Ph: () -	Shibin Mathew, CRNA 11375 Cortez Blvd, Brooksville, FL 34613-5409 Ph: (352) 596-6632

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Brooksville, FL

Nicole Marie Dibella, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11375 Cortez Blvd, Brooksville, FL 34613 Phone: 352-596-6632
Gail Shue, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15205 Cortez Blvd, Brooksville, FL 34613 Phone: 352-597-7744 Fax: 352-597-7797
Angela Marie Bacon, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 11375 Cortez Blvd, Brooksville, FL 34613 Phone: 352-596-6632
Arnold Szabo, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11375 Cortez Blvd, Brooksville, FL 34613 Phone: 352-596-6632
Rodney Holcomb, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 11375 Cortez Blvd, Brooksville, FL 34613 Phone: 352-544-7112 Fax: 352-688-7224
Mrs. Lorna Marie Gonzalez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 11375 Cortez Blvd, Brooksville, FL 34613 Phone: 352-596-6632 Fax: 352-688-7224
Scott Lamar Babcock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15205 Cortez Blvd, Brooksville, FL 34613 Phone: 352-597-7744 Fax: 352-597-7797

Shibin Mathew, CRNA - Medicare Nurse Anesthetist, Certified Registered in Brooksville, FL