Mrs Tina Nannette Shannon, CRNA in West Columbia, SC - Medicare Certified Registered Nurse Anesthetist (crna)

Mrs Tina Nannette Shannon, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in West Columbia, South Carolina. She graduated from nursing school in 2003 and has 23 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Charleston Area Medical Center Inc and her current practice location is 2720 Sunset Blvd, West Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 935-8538.

Mrs Tina Nannette Shannon is licensed to practice in South Carolina (license number 31865) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265435556.

Contact Information

	Mrs Tina Nannette Shannon, CRNA
	2720 Sunset Blvd, West Columbia, SC 29169-4810
	(803) 935-8538
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Tina Nannette Shannon
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	23 Years
Location	2720 Sunset Blvd, West Columbia, South Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Tina Nannette Shannon graduated from nursing school in 2003

NPI Data:

NPI Number: 1265435556
Provider Enumeration Date: 05/31/2005
Last Update Date: 07/03/2026

Medicare PECOS Information:

PECOS PAC ID: 0840194791
Enrollment ID: I20031121000549

Medical Identifiers

Medical identifiers for Mrs Tina Nannette Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265435556	NPI	-	NPPES
27005299700	Other	WV	WORKER'S COMP-MAAC
2624413	Medicaid	OH
270052997	Other	WV	TAX ID -MAAC
2601300000	Medicaid	WV
P00258571	Other	WV	MEDICARE
001713630	Other	WV	BCBS-MAAC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	54626 (West Virginia)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	31865 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Charleston Area Medical Center	Charleston, WV	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Charleston Area Medical Center Inc	3375441637	969

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. Mrs Tina Nannette Shannon allows following entities to bill medicare on her behalf.

Entity Name	Charleston Area Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426

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. Mrs Tina Nannette Shannon 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
Mrs Tina Nannette Shannon, CRNA Po Box 6069, West Columbia, SC 29171-6069 Ph: (803) 935-8538	Mrs Tina Nannette Shannon, CRNA 2720 Sunset Blvd, West Columbia, SC 29169-4810 Ph: (803) 935-8538

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in West Columbia, SC

Hannah Elizabeth Pettigrew, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-935-8538
Veronica Resendez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-935-8538
Cara Nicole Adams, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-935-8538
Aimee Yates Gondi, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2720 Sunset Blvd., West Columbia, SC 29169 Phone: 803-791-2000
Mrs. Aimee Ahn Durgin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2000
Jeffrey M Scoggin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-935-8538 Fax: 803-791-2660
Jessica Leigh Rosebrock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2000

Mrs Tina Nannette Shannon, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in West Columbia, SC