| Shatone E Jackson, CRNA | |
|
245 Governors Dr Se, Huntsville, AL 35801-2700 | |
| (205) 979-5882 | |
| (205) 979-1248 |
| Full Name | Shatone E Jackson |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 14 Years |
| Location | 245 Governors Dr Se, Huntsville, 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 |
|---|---|---|---|
| 1598038861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1-087755 (Alabama) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0024194324 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Huntsville Hospital | Huntsville, AL | Hospital |
| Cullman Regional Medical Center | Cullman, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cullman Regional Anesthesia Services Llc | 2466785712 | 30 |
| Robert W Nesbitt Md Pc | 7012819436 | 11 |
| Huntsville Hospital Anesthesia | 7315990751 | 150 |
| Entity Name | Robert W Nesbitt Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588731269 PECOS PAC ID: 7012819436 Enrollment ID: O20040124000315 |
| Entity Name | Huntsville Hospital Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851321079 PECOS PAC ID: 7315990751 Enrollment ID: O20050225000538 |
| Entity Name | Cullman Regional Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982163671 PECOS PAC ID: 2466785712 Enrollment ID: O20190531001548 |
| Mailing Address | Practice Location Address |
|---|---|
| Shatone E Jackson, CRNA 245 Governors Dr Se, Huntsville, AL 35801-2700 Ph: (205) 979-5882 | Shatone E Jackson, CRNA 245 Governors Dr Se, Huntsville, AL 35801-2700 Ph: (205) 979-5882 |
Jedidiah A Earls, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 911 Big Cove Rd Se, Huntsville, AL 35801 Phone: 256-265-8120 Fax: 256-265-8969 | |
Brian Alan Piazza, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr Sw, Huntsville, AL 35801 Phone: 256-469-7895 Fax: 256-270-8937 | |
Charlotte A Parker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 911 Big Cove Rd Se, Anesthesia Dept, Huntsville, AL 35801 Phone: 256-265-8120 Fax: 256-265-8969 | |
Marlin Sean Ryder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 911 Big Cove Rd Se, Anesthesia Dept., Huntsville, AL 35801 Phone: 256-265-8120 Fax: 256-265-8969 | |
Mrs. Julie D Mccoy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 Sivley Rd Sw, Huntsville, AL 35801 Phone: 256-265-1000 Fax: 256-265-2186 | |
Terry Dale Wendell Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 911 Big Cove Rd Se, Anesthesia Dept., Huntsville, AL 35801 Phone: 256-265-8120 Fax: 256-265-8969 | |
Alan A Berard, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 911 Big Cove Rd Se, Anesthesia Dept., Huntsville, AL 35801 Phone: 256-265-8120 Fax: 256-265-8969 |