Mr Charles T Shine, CRNA - Medicare Nurse Anesthetist, Certified Registered in Dayton, OH

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Mr Charles T Shine, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Dayton, Ohio. His current practice location is 4100 W 3rd St, Dayton, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 258-6511.

Mr Charles T Shine is licensed to practice in Ohio (license number RN217919/NA01171) 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 1346250180.

Contact Information

Mr Charles T Shine, CRNA
4100 W 3rd St,
Dayton, OH 45428-9000
(937) 258-6511
(937) 267-3998

Map and Direction




Provider's Profile

Full NameMr Charles T Shine
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location4100 W 3rd St, Dayton, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346250180
  • Provider Enumeration Date: 08/08/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7719982792
  • Enrollment ID: I20060926000178

Medical Identifiers

Medical identifiers for Mr Charles T Shine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346250180NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN217919/NA01171 (Ohio)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. Mr Charles T Shine allows following entities to bill medicare on his behalf.
Entity NameKettering Anesthesia Associates, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689627739
PECOS PAC ID: 0648170365
Enrollment ID: O20040109000871
Entity NameSandusky Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770907859
PECOS PAC ID: 3274895271
Enrollment ID: O20180402000752

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. Mr Charles T Shine 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
Mr Charles T Shine, CRNA
200 E Rahn Rd,
Dayton, OH 45429-5424

Ph: (937) 434-5456		Mr Charles T Shine, CRNA
4100 W 3rd St,
Dayton, OH 45428-9000

Ph: (937) 258-6511

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Dayton, OH

Kathy Waymire, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1 Wyoming St, Dayton, OH 45409
Phone: 800-394-4445    
Mr. Robert S Sheeley, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1 Wyoming St, Dayton, OH 45409
Phone: 937-208-4380    Fax: 937-208-3843
Cody Dalton Plapp, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1 Wyoming St, Dayton, OH 45409
Phone: 937-208-6173    Fax: 937-208-3843
Sarah Blesch,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 405 W Grand Ave, Dayton, OH 45405
Phone: 937-723-3200    
Benjamin Louis Medina, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 405 W Grand Ave, Dayton, OH 45405
Phone: 937-723-3200    
Rachael Allen,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1 Wyoming St, Dayton, OH 45409
Phone: 937-208-8000    
Lauren Moad,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1 Wyoming St, Dayton, OH 45409
Phone: 937-208-8000    

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.