Dr Lyda A Shambo, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in New York, NY

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Dr Lyda A Shambo, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in New York, New York. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Jefferson Anesthesiologist Services Pc and her current practice location is 420 Central Park W, Apt. 4g, New York, New York. You can reach out to her office (for appointments etc.) via phone at (917) 455-3722.

Dr Lyda A Shambo is licensed to practice in New York (license number 525267) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1467575894.

Contact Information

Dr Lyda A Shambo, CRNA
420 Central Park W, Apt. 4g,
New York, NY 10025-4375
(917) 455-3722
Not Available

Map and Direction




Provider's Profile

Full NameDr Lyda A Shambo
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience7 Years
Location420 Central Park W, New York, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Lyda A Shambo graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1467575894
  • Provider Enumeration Date: 04/09/2007
  • Last Update Date: 10/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3577657923
  • Enrollment ID: I20090406000092

Medical Identifiers

Medical identifiers for Dr Lyda A Shambo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467575894NPI-NPPES
4024MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 0001204398 (Virginia)Secondary
163W00000XRegistered Nurse 525267 (New York)Secondary
367500000XNurse Anesthetist, Certified Registered 0024167441 (Virginia)Secondary
367500000XNurse Anesthetist, Certified Registered 525267 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Samaritan Medical CenterWatertown, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Jefferson Anesthesiologist Services Pc084028926038

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. Dr Lyda A Shambo allows following entities to bill medicare on her behalf.
Entity NameU Of R Anesthesiology Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609806488
PECOS PAC ID: 3476451105
Enrollment ID: O20031219000433
Entity NameNorth American Partners In Anesthesia Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649264706
PECOS PAC ID: 7719885771
Enrollment ID: O20040108000176
Entity NameMemorial Anesthesiology Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467423020
PECOS PAC ID: 8729977129
Enrollment ID: O20040313000040
Entity NameAmerican Anesthesiology Of New York, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114973724
PECOS PAC ID: 9537050968
Enrollment ID: O20040323001912
Entity NameJefferson Anesthesiologist Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508818014
PECOS PAC ID: 0840289260
Enrollment ID: O20040512000314
Entity NameOswego Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871678458
PECOS PAC ID: 4981686045
Enrollment ID: O20040602001275
Entity NameDelphi Healthcare Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003075029
PECOS PAC ID: 9537229661
Enrollment ID: O20081119000839

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. Dr Lyda A Shambo 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
Dr Lyda A Shambo, CRNA
420 Central Park W, Apt. 4g,
New York, NY 10025-4375

Ph: (917) 455-3722		Dr Lyda A Shambo, CRNA
420 Central Park W, Apt. 4g,
New York, NY 10025-4375

Ph: (917) 455-3722

Reviews and Comments


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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.