Shelley J Kudialis, CRNA in Johnson City, TN - Medicare Nurse Anesthetist, Certified Registered

Shelley J Kudialis, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Johnson City, Tennessee. Her current practice location is 1114 Sunset Dr, Suite 4, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 283-0776.

Shelley J Kudialis is licensed to practice in Tennessee (license number RN0000158056) 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 1265562144.

Contact Information

	Shelley J Kudialis, CRNA
	1114 Sunset Dr, Suite 4, Johnson City, TN 37604-2969
	(423) 283-0776
	(423) 283-0549

Map and Direction

Provider's Profile

Full Name	Shelley J Kudialis
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	1114 Sunset Dr, Johnson City, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265562144
Provider Enumeration Date: 03/07/2007
Last Update Date: 10/29/2019

Medicare PECOS Information:

PECOS PAC ID: 7113027103
Enrollment ID: I20070703000771

Medical Identifiers

Medical identifiers for Shelley J Kudialis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265562144	NPI	-	NPPES
PENDING	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	APRN9387933 (Florida)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	RN0000158056 (Tennessee)	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. Shelley J Kudialis allows following entities to bill medicare on her behalf.

Entity Name	Resource Anesthesia, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033162045 PECOS PAC ID: 1254228141 Enrollment ID: O20040304000172

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. Shelley J Kudialis 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
Shelley J Kudialis, CRNA 230 Lake Ridge Dr, Jonesborough, TN 37659-4798 Ph: (423) 438-0521	Shelley J Kudialis, CRNA 1114 Sunset Dr, Suite 4, Johnson City, TN 37604-2969 Ph: (423) 283-0776

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Johnson City, TN

Shawn D Bright, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1009 Novus Dr Ste 2, Johnson City, TN 37604 Phone: 423-283-0776 Fax: 423-283-0549
Lisa W Green, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1009 Lark St, Suite 2, Johnson City, TN 37604 Phone: 423-283-0776 Fax: 423-283-0549
Marcos D Demoura, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 818 Sunset Dr Ste 103, Johnson City, TN 37604 Phone: 423-794-3142
Chasity A Huffman, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1009 Novus Dr Ste 2, Johnson City, TN 37604 Phone: 423-283-0776 Fax: 423-968-5697
Mrs. Jewel B Welch, CRNAP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1009 Novus Dr, Johnson City, TN 37604 Phone: 423-283-0776
Johnny Lee Estep, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1009 Novus Dr, Johnson City, TN 37604 Phone: 423-282-0776
Samuel V Davenport, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 400 N State Of Franklin Rd, Johnson City, TN 37604 Phone: 423-431-6111

Shelley J Kudialis, CRNA - Medicare Nurse Anesthetist, Certified Registered in Johnson City, TN