Larry Wayne Shock Jr, CRNA in Dallas, TX - Medicare Certified Registered Nurse Anesthetist (crna)

Larry Wayne Shock Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Dallas, Texas. He graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesia Medical Professionals Pllc and his current practice location is 13737 Noel Road, Suite 1400, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (972) 715-5000.

Larry Wayne Shock Jr is licensed to practice in Texas (license number 786298) 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 1265717904.

Contact Information

	Larry Wayne Shock Jr, CRNA
	13737 Noel Road, Suite 1400, Dallas, TX 75240-2004
	(972) 715-5000
	(972) 715-9976

Map and Direction

Provider's Profile

Full Name	Larry Wayne Shock Jr
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	13 Years
Location	13737 Noel Road, Dallas, Texas
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:

Larry Wayne Shock Jr graduated from nursing school in 2011

NPI Data:

NPI Number: 1265717904
Provider Enumeration Date: 10/13/2011
Last Update Date: 05/21/2014

Medicare PECOS Information:

PECOS PAC ID: 4284896192
Enrollment ID: I20150128000380

Medical Identifiers

Medical identifiers for Larry Wayne Shock Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265717904	NPI	-	NPPES
P01102917	Other	TX	RAILROAD MEDICARE PTAN
200458930A	Medicaid	OK
8476UD	Other	TX	BCBS PIN
306652401	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	786298 (Texas)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	786298 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Integris Southwest Medical Center	Oklahoma city, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Anesthesia Medical Professionals Pllc	5991970279	87

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. Larry Wayne Shock Jr allows following entities to bill medicare on his behalf.

Entity Name	Anesthesia Medical Professionals Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962785931 PECOS PAC ID: 5991970279 Enrollment ID: O20111215000187

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. Larry Wayne Shock Jr 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
Larry Wayne Shock Jr, CRNA Po Box 650865, Dallas, TX 75265-0865 Ph: (972) 715-5000	Larry Wayne Shock Jr, CRNA 13737 Noel Road, Suite 1400, Dallas, TX 75240-2004 Ph: (972) 715-5000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Dallas, TX

Mrs. Charity Cabrera Magcalas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976
Jennie A Potts, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13601 Preston Rd, 1000w, Dallas, TX 75240 Phone: 972-715-5000
Eric Lara, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5200 Harry Hines Blvd, Dallas, TX 75235 Phone: 469-419-2850
Ms. Justina Osagioduwa Nwokedi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6606 Lbj Fwy Ste 200, Dallas, TX 75240 Phone: 972-715-5000 Fax: 972-715-9976
Lauren Carter Segerson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976
Hannah Neipp Murdock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976
Jeannie K Murphy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6606 Lbj Fwy, Suite 200, Dallas, TX 75240 Phone: 972-715-5000 Fax: 972-715-9976

Larry Wayne Shock Jr, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Dallas, TX