Shane Parks, CRNA in Gallup, NM - Medicare Nurse Anesthetist, Certified Registered

Shane Parks, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Gallup, New Mexico. His current practice location is 516 E Nizhoni Blvd, Gallup, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 722-1000.

Shane Parks is licensed to practice in Ohio (license number COA.11341-NA) 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 1588988745.

Contact Information

	Shane Parks, CRNA
	516 E Nizhoni Blvd, Gallup, NM 87301
	(505) 722-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Shane Parks
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	516 E Nizhoni Blvd, Gallup, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588988745
Provider Enumeration Date: 03/17/2010
Last Update Date: 03/17/2010

Medicare PECOS Information:

PECOS PAC ID: 5092842799
Enrollment ID: I20100429000484

Medical Identifiers

Medical identifiers for Shane Parks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588988745	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	COA.11341-NA (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. Shane Parks allows following entities to bill medicare on his behalf.

Entity Name	Claremore Indian Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073527842 PECOS PAC ID: 9436069911 Enrollment ID: O20031210001104

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. Shane Parks 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
Shane Parks, CRNA Po Box 1337, Gallup, NM 87305-1337 Ph: (505) 722-1000	Shane Parks, CRNA 516 E Nizhoni Blvd, Gallup, NM 87301 Ph: (505) 722-1000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Gallup, NM

Iris R Kovach, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1421
Mayra Rael, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Loretta Kendricks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1421
Mr. Manuel Dejesus Zarate Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-506-6076
Michael Lee Robinson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1421
Ms. Katrina Lucille Pinczes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Red Rock Dr, Gallup, NM 87301 Phone: 330-603-5716

Shane Parks, CRNA - Medicare Nurse Anesthetist, Certified Registered in Gallup, NM