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

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Glenn Daniel Shupe, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Phoenix, Arizona. He graduated from nursing school in 2004 and has 20 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, Elite Anesthesia Llc 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 NameGlenn Daniel Shupe
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience20 Years
Location5777 E Mayo Blvd, Phoenix, Arizona
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1821072455NPI-NPPES
893158MedicaidAZ
86080015085259A968OtherAZTRIWEST
86080015085260A111OtherAZTRIWEST
P00169405OtherAZRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN130186 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Anesthesia Services Pllc397185089246
Elite Anesthesia Llc67090588453

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 NameArizona Pain Specialists Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700030939
PECOS PAC ID: 2668536418
Enrollment ID: O20090123000125
Entity NameChandler Anesthesia Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669703419
PECOS PAC ID: 2062541139
Enrollment ID: O20100527000709
Entity NameIntegrated Anesthesia Consultants Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144645656
PECOS PAC ID: 2264664549
Enrollment ID: O20140421001511
Entity NameNovaspine Pain Institute Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154745263
PECOS PAC ID: 9931323359
Enrollment ID: O20140630000941
Entity NameAnesthesia Partners & Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336530997
PECOS PAC ID: 9931429198
Enrollment ID: O20150529000706
Entity NameElite Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245623834
PECOS PAC ID: 6709058845
Enrollment ID: O20150810001731
Entity NameSummit Anesthesia Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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
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Maria M Valentin, CRNA
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Jeanmarie Altieri, CRNA
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Richard Warren Busby, CRNA
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Medicare: Not Enrolled in Medicare
Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054
Phone: 480-301-8000    Fax: 480-301-4988
Leila Mclawhorn,
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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.