| Shannon Kolupaeva, RN | |
|
800 Lakeshore Dr, Birmingham, AL 35229-0002 | |
| (775) 560-8000 | |
| Not Available |
| Full Name | Shannon Kolupaeva |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 6 Years |
| Location | 800 Lakeshore Dr, Birmingham, Alabama |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255968954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 1-166204 (Alabama) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 64423 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Billings Clinic | Billings, MT | Hospital |
| Livingston Healthcare | Livingston, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Livingston Healthcare | 5991613598 | 56 |
| Billings Clinic | 6002993516 | 685 |
| Entity Name | Livingston Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245222306 PECOS PAC ID: 5991613598 Enrollment ID: O20031122000111 |
| Entity Name | Billings Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326104845 PECOS PAC ID: 6002993516 Enrollment ID: O20080430000212 |
| Entity Name | Starlyn Green Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811293764 PECOS PAC ID: 5193906410 Enrollment ID: O20110221000157 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Kolupaeva, RN 5400 Brookmeadow Ln, Reno, NV 89511-9000 Ph: () - | Shannon Kolupaeva, RN 800 Lakeshore Dr, Birmingham, AL 35229-0002 Ph: (775) 560-8000 |
Ladana M. Williams, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Princeton Ave Sw, Birmingham, AL 35211 Phone: 205-783-3144 | |
James M. Hatchett, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 701 Princeton Ave Sw, Birmingham, AL 35211 Phone: 205-977-1949 | |
Katherine S. Thompson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 Princeton Ave Sw, Birmingham, AL 35211 Phone: 205-977-1949 | |
Karen Barrow, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2010 Brookwood Medical Ctr Dr, Birmingham, AL 35209 Phone: 205-877-1000 | |
Brooklyn Williams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2010 Brookwood Medical Ctr Dr, Birmingham, AL 35209 Phone: 205-877-1000 | |
Robert Singley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Montclair Rd, Birmingham, AL 35213 Phone: 205-783-3144 | |
Dr. Andrew Paul Nolen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1802 6th Ave S, Birmingham, AL 35233 Phone: 205-934-3411 |