Glenn Daniel Shupe, CRNA in Phoenix, AZ - Medicare Certified Registered Nurse Anesthetist (crna)

Glenn Daniel Shupe, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Phoenix, Arizona. He graduated from nursing school in 2004 and has 21 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Summit Anesthesia Services Pllc and his current practice location is 5777 E Mayo Blvd, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 301-8000.

Glenn Daniel Shupe is licensed to practice in Arizona (license number RN130186) 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 1821072455.

Contact Information

	Glenn Daniel Shupe, CRNA
	5777 E Mayo Blvd, Phoenix, AZ 85054-4502
	(480) 301-8000
	Not Available

Map and Direction

Provider's Profile

Full Name	Glenn Daniel Shupe
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	21 Years
Location	5777 E Mayo Blvd, Phoenix, Arizona
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:

Glenn Daniel Shupe graduated from nursing school in 2004

NPI Data:

NPI Number: 1821072455
Provider Enumeration Date: 12/06/2005
Last Update Date: 05/15/2018

Medicare PECOS Information:

PECOS PAC ID: 9032174446
Enrollment ID: I20041124000787

Medical Identifiers

Medical identifiers for Glenn Daniel Shupe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821072455	NPI	-	NPPES
893158	Medicaid	AZ
86080015085259A968	Other	AZ	TRIWEST
86080015085260A111	Other	AZ	TRIWEST
P00169405	Other	AZ	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN130186 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Summit Anesthesia Services Pllc	3971850892	57

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. Glenn Daniel Shupe allows following entities to bill medicare on his behalf.

Entity Name	Integrated Anesthesia Consultants Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144645656 PECOS PAC ID: 2264664549 Enrollment ID: O20140421001511

Entity Name	Novaspine Pain Institute Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154745263 PECOS PAC ID: 9931323359 Enrollment ID: O20140630000941

Entity Name	Anesthesia Partners & Management Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336530997 PECOS PAC ID: 9931429198 Enrollment ID: O20150529000706

Entity Name	Elite Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245623834 PECOS PAC ID: 6709058845 Enrollment ID: O20150810001731

Entity Name	Summit Anesthesia Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821589144 PECOS PAC ID: 3971850892 Enrollment ID: O20180724002694

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. Glenn Daniel Shupe 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
Glenn Daniel Shupe, CRNA 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 Ph: (480) 301-8000	Glenn Daniel Shupe, CRNA 5777 E Mayo Blvd, Phoenix, AZ 85054-4502 Ph: (480) 301-8000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Phoenix, AZ

Jenny Mcdonald, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1200
Rufus Lee Casey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1511 Fax: 602-263-1637
Maria M Valentin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1200
Michelle Minta, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4441 E Mcdowell Rd, Ste 101, Phoenix, AZ 85008 Phone: 602-273-6770 Fax: 602-889-0489
Jeanmarie Altieri, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 645 E Missouri Ave Ste 300, Phoenix, AZ 85012 Phone: 602-262-8900 Fax: 602-262-8890
Richard Warren Busby, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 Fax: 480-301-4988
Mr. Daniel Patrick Harmeyer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5039

Glenn Daniel Shupe, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Phoenix, AZ