Renea Wall Shore, CRNA in Winston Salem, NC - Medicare Certified Registered Nurse Anesthetist (crna)

Renea Wall Shore, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Winston Salem, North Carolina. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Providence Anesthesiology Associates Pa and her current practice location is 145 Kimel Park Dr, Suite 300, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 768-3212.

Renea Wall Shore is licensed to practice in North Carolina (license number 133582) 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 1760677850.

Contact Information

	Renea Wall Shore, CRNA
	145 Kimel Park Dr, Suite 300, Winston Salem, NC 27103-6984
	(336) 768-3212
	Not Available

Map and Direction

Provider's Profile

Full Name	Renea Wall Shore
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	17 Years
Location	145 Kimel Park Dr, Winston Salem, North 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:

Renea Wall Shore graduated from nursing school in 2007

NPI Data:

NPI Number: 1760677850
Provider Enumeration Date: 09/11/2007
Last Update Date: 09/11/2007

Medicare PECOS Information:

PECOS PAC ID: 3072601004
Enrollment ID: I20071108000528

Medical Identifiers

Medical identifiers for Renea Wall Shore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760677850	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	133582 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Anesthesiology Associates Pa	3971566761	251

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. Renea Wall Shore allows following entities to bill medicare on her behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

Entity Name	Eagle Physicians And Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457436982 PECOS PAC ID: 0244134468 Enrollment ID: O20031120000436

Entity Name	Piedmont Triad Anesthesia, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467497081 PECOS PAC ID: 8426020025 Enrollment ID: O20040824000312

Entity Name	Salem Professional Anesthesia Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538171897 PECOS PAC ID: 9133180326 Enrollment ID: O20041108000480

Entity Name	Providence Anesthesiology Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396739884 PECOS PAC ID: 3971566761 Enrollment ID: O20041111000930

Entity Name	Anesthesia Care Services Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609833474 PECOS PAC ID: 7012937105 Enrollment ID: O20090813000373

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. Renea Wall Shore 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
Renea Wall Shore, CRNA 145 Kimel Park Dr, Suite 300, Winston Salem, NC 27103-6984 Ph: (336) 768-3212	Renea Wall Shore, CRNA 145 Kimel Park Dr, Suite 300, Winston Salem, NC 27103-6984 Ph: (336) 768-3212

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Winston Salem, NC

Nicholas Ryan Tuttle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-409-1797
Yetta Hardy Clark, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 145 Kimel Park Dr, Suite 300, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019
Carie Sue Nunley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019
Connie Sue Freeman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019
Charlie Martin Robertson Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2011
Holly C Pegram, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019
Jessica Savidge Rose, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019

Renea Wall Shore, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Winston Salem, NC