Ms Jayma R Shane, CRNA in Peoria, IL - Medicare Nurse Anesthetist, Certified Registered

Ms Jayma R Shane, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Peoria, Illinois. Her current practice location is 8600 N State Route 91, Suite 250, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 692-5393.

Ms Jayma R Shane is licensed to practice in Illinois (license number 209.010281) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1245571819.

Contact Information

	Ms Jayma R Shane, CRNA
	8600 N State Route 91, Suite 250, Peoria, IL 61615-9541
	(309) 692-5393
	(309) 692-2538

Map and Direction

Provider's Profile

Full Name	Ms Jayma R Shane
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	8600 N State Route 91, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245571819
Provider Enumeration Date: 03/07/2013
Last Update Date: 10/03/2017

Medicare PECOS Information:

PECOS PAC ID: 9638315831
Enrollment ID: I20130412000460

Medical Identifiers

Medical identifiers for Ms Jayma R Shane such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245571819	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	209.010281 (Illinois)	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. Ms Jayma R Shane allows following entities to bill medicare on her behalf.

Entity Name	Associated Anesthesiologists Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558306480 PECOS PAC ID: 6305744129 Enrollment ID: O20031230000544

Entity Name	Methodist Medical Center Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164474755 PECOS PAC ID: 1355259714 Enrollment ID: O20070924000481

Entity Name	J & P Medical Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255119996 PECOS PAC ID: 0042667297 Enrollment ID: O20231108003717

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. Ms Jayma R Shane 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
Ms Jayma R Shane, CRNA 8600 N State Route 91, Suite 250, Peoria, IL 61615-9541 Ph: (309) 692-5393	Ms Jayma R Shane, CRNA 8600 N State Route 91, Suite 250, Peoria, IL 61615-9541 Ph: (309) 692-5393

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Peoria, IL

Melissa Terhark, C.R.N.A Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8600 North State Route 91, Suite #250, Peoria, IL 61615 Phone: 309-692-5394 Fax: 309-692-2538
Bradley Alan Kirkenir, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7309 N Knoxville Ave, Peoria, IL 61614 Phone: 217-528-7541
Sandra M Krahn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5522
Adam Randel Osborne, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5550
Mr. Kip Neuhoff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6742 N Frostwood Pkwy, Peoria, IL 61615 Phone: 309-655-4809
Dr. Samantha Mae Aufderhaar, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000
Mr. Gary L Boniger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8600 N State Route 91, Suite 250, Peoria, IL 61615 Phone: 309-692-5393 Fax: 309-692-2538

Ms Jayma R Shane, CRNA - Medicare Nurse Anesthetist, Certified Registered in Peoria, IL