Douglas E Shaffer, CRNA in Youngstown, OH - Medicare Nurse Anesthetist, Certified Registered

Douglas E Shaffer, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Youngstown, Ohio. His current practice location is 1044 Belmont Ave, Youngstown, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 480-3658.

Douglas E Shaffer is licensed to practice in Ohio (license number RN291861) 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 1518239094.

Contact Information

	Douglas E Shaffer, CRNA
	1044 Belmont Ave, Youngstown, OH 44504-1006
	(330) 480-3658
	(330) 480-3439

Map and Direction

Provider's Profile

Full Name	Douglas E Shaffer
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1044 Belmont Ave, Youngstown, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518239094
Provider Enumeration Date: 01/31/2012
Last Update Date: 10/16/2015

Medicare PECOS Information:

PECOS PAC ID: 6103084199
Enrollment ID: I20120222000363

Medical Identifiers

Medical identifiers for Douglas E Shaffer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518239094	NPI	-	NPPES
P01044986	Other	OH	MEDICARE RAILROAD
0060361	Medicaid	OH
PENDING	Other	PA	MEDICARE PTAN
H064730	Other	OH	MEDICARE PTAN
000000749790	Other	OH	ANTHEM BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN291861 (Ohio)	Primary
367500000X	Nurse Anesthetist, Certified Registered	RN358639L (Pennsylvania)	Secondary

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. Douglas E Shaffer allows following entities to bill medicare on his behalf.

Entity Name	Northstar Anesthesia Of Ohio Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417276429 PECOS PAC ID: 3173648300 Enrollment ID: O20100927000005

Entity Name	Ohio Valley Anesthetists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558763888 PECOS PAC ID: 7618199704 Enrollment ID: O20141104002698

Entity Name	East Ohio Hospital Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508480930 PECOS PAC ID: 6305260753 Enrollment ID: O20200720000706

Entity Name	Radius Anesthesia Of Ohio Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427416585 PECOS PAC ID: 7113330655 Enrollment ID: O20201230001779

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. Douglas E Shaffer 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
Douglas E Shaffer, CRNA 4135 Boardman Canfield Rd, Suite 101, Canfield, OH 44406-9803 Ph: (330) 286-5330	Douglas E Shaffer, CRNA 1044 Belmont Ave, Youngstown, OH 44504-1006 Ph: (330) 480-3658

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Youngstown, OH

Colleen T Masternick, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 8135 Market St, Youngstown, OH 44512 Phone: 330-758-0900 Fax: 330-758-2790
Anthony Wayne Spatar, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-480-3658 Fax: 330-480-3439
Candace Stefancin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7630 Southern Blvd, Youngstown, OH 44512 Phone: 330-729-8000 Fax: 330-729-8084
Amanda Lee Lingenfelter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3622 Belmont Ave, Suite 1, Youngstown, OH 44505 Phone: 330-759-9350 Fax: 330-759-9387
Ryan C Turk, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-480-3658 Fax: 330-480-3439
Tiffany Lynn Loughran, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-480-3658 Fax: 330-480-3439
Ms. Donna Elaine Ward, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Gypsy Ln, Youngstown, OH 44504 Phone: 330-884-3679

Douglas E Shaffer, CRNA - Medicare Nurse Anesthetist, Certified Registered in Youngstown, OH