Manardie Francis Shimata, DNAP, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Syracuse, Utah. His current practice location is
3773 Cherry Hills Cir, Syracuse, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 786-9233.
Manardie Francis Shimata is licensed to practice in Utah (license number 277586-4406) 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 1720099542.
Provider's Profile
| Full Name | Manardie Francis Shimata |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 3773 Cherry Hills Cir, Syracuse, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1720099542
- Provider Enumeration Date: 08/10/2006
- Last Update Date: 10/03/2018
Medicare PECOS Information:
- PECOS PAC ID: 7113826504
- Enrollment ID: I20041111000940
Medical Identifiers
Medical identifiers for Manardie Francis Shimata such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1720099542 | NPI | - | NPPES |
| 190246100 | Other | UT | DEPT OF LABOR |
| 219498 | Other | UT | ALTIUS |
| TPRA07902 | Other | UT | MOLINA |
| 49408844 | Medicaid | CO | |
| 68295 | Other | UT | PEHP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367500000X | Nurse Anesthetist, Certified Registered | 164348 (Colorado) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP30006270 (Washington) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 277586-4406 (Utah) | Primary |
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. Manardie Francis Shimata allows following entities to bill medicare on his behalf.
| Entity Name | U U Anesthesiology Department School Of Medicine |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134158322 PECOS PAC ID: 8527963966 Enrollment ID: O20031128000007 |
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| Entity Name | Utah Gastroenterology Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871689562 PECOS PAC ID: 9830174150 Enrollment ID: O20040621001991 |
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| Entity Name | University Of Utah Adult Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
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| Entity Name | Art Of Modern Anesthesia Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063824969 PECOS PAC ID: 8921328253 Enrollment ID: O20150527002498 |
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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. Manardie Francis Shimata 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 |
Manardie Francis Shimata, DNAP, CRNA 3773 Cherry Hills Cir, Syracuse, UT 84075-8402 Ph: (801) 786-9233 | Manardie Francis Shimata, DNAP, CRNA 3773 Cherry Hills Cir, Syracuse, UT 84075-8402 Ph: (801) 786-9233 |
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