Shade Raymond Preston Iv, DO in Augusta, GA

Shade Raymond Preston Iv, DO is a medicare enrolled "Anesthesiology" physician in Augusta, Georgia. He went to West Virginia School Of Osteopathic Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Piedmont Anesthesia Llc and his current practice location is 1350 Walton Way, Augusta, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 737-9250.

Shade Raymond Preston Iv is licensed to practice in Georgia (license number 058811) 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 1053431635.

Contact Information

	Shade Raymond Preston Iv, DO
	1350 Walton Way, Augusta, GA 30901-2612
	(706) 737-9250
	(706) 733-0697

Map and Direction

Physician's Profile

Full Name	Shade Raymond Preston Iv
Gender	Male
Speciality	Anesthesiology
Experience	21 Years
Location	1350 Walton Way, Augusta, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shade Raymond Preston Iv attended and graduated from West Virginia School Of Osteopathic Medicine in 2003

NPI Data:

NPI Number: 1053431635
Provider Enumeration Date: 03/29/2007
Last Update Date: 06/16/2008

Medicare PECOS Information:

PECOS PAC ID: 3678673399
Enrollment ID: I20070711000128

Medical Identifiers

Medical identifiers for Shade Raymond Preston Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053431635	NPI	-	NPPES
G58811	Medicaid	SC
P00424799	Other	GA	RAILROAD MEDICARE
159750664A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	058811 (Georgia)	Primary
207LP2900X	Anesthesiology - Pain Medicine	058811 (Georgia)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Hospital	Augusta, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Piedmont Anesthesia Llc	2163837972	155

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. Shade Raymond Preston Iv allows following entities to bill medicare on his behalf.

Entity Name	University Anesthesiology Assoc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790722593 PECOS PAC ID: 4789586314 Enrollment ID: O20040123000807

Entity Name	Piedmont Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700474244 PECOS PAC ID: 2163837972 Enrollment ID: O20210208002823

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. Shade Raymond Preston Iv 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
Shade Raymond Preston Iv, DO 1824 Walton Way, Augusta, GA 30904-3804 Ph: (706) 737-9250	Shade Raymond Preston Iv, DO 1350 Walton Way, Augusta, GA 30901-2612 Ph: (706) 737-9250

Reviews and Comments

Anesthesiology Doctors in Augusta, GA

Rosa Maria Lopez Rincon, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-446-5836
Yulia Kungurova, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1120 15th St # Bi-2183, Augusta, GA 30912 Phone: 706-721-0180
Richard E. Lynch, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 804 Scott Nixon Memorial Dr, Attn: Provider Enrollment, Augusta, GA 30907 Phone: 800-394-4445 Fax: 706-955-0735
Dr. Edward Kurt Leahy, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Freedom Way, Augusta, GA 30904 Phone: 706-733-0188
Dr. Marshall D. Bedder, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3813
Dr. John William Whiteley, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3873 Fax: 706-721-7763
Sami Mohammad Hafsa, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3871

Shade Raymond Preston Iv, DO - Medicare Anesthesiology in Augusta, GA