Mr Ron Shannon Walters, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Griffin, Georgia. He graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Sentry Anesthesia Management, Llc and his current practice location is
601 S 8th St, Griffin, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 228-2721.
Mr Ron Shannon Walters is licensed to practice in Georgia (license number RN223340) 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 1669141172.
Provider's Profile
| Full Name | Mr Ron Shannon Walters |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 5 Years |
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| Location | 601 S 8th St, Griffin, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Ron Shannon Walters graduated from nursing school in 2021
NPI Data:
- NPI Number: 1669141172
- Provider Enumeration Date: 09/08/2021
- Last Update Date: 02/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 8820464654
- Enrollment ID: I20221020000036
Medical Identifiers
Medical identifiers for Mr Ron Shannon Walters such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669141172 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | RN223340 (Georgia) | Primary |
| 163W00000X | Registered Nurse | 223340 (Georgia) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sentry Anesthesia Management, Llc | 9436372323 | 203 |
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 Ron Shannon Walters allows following entities to bill medicare on his behalf.
| Entity Name | Sentry Anesthesia Management, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134544794
PECOS PAC ID: 9436372323
Enrollment ID: O20140521002571 |
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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. Mr Ron Shannon Walters 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 |
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Mr Ron Shannon Walters,
1123 Maple Dr,
Griffin, GA 30224-4938
Ph: (404) 425-8409 | Mr Ron Shannon Walters,
601 S 8th St,
Griffin, GA 30224-4213
Ph: (770) 228-2721 |
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