Shirley Phan, - Medicare Certified Registered Nurse Anesthetist (crna) in Gainesville, FL

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Shirley Phan, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Gainesville, Florida. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Florida Clinical Practice Association, Anesthesia Dynamics Llc and her current practice location is 1600 Sw Archer Rd, Gainesville, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 273-8610.

Shirley Phan is licensed to practice in Florida (license number ARNP2933272) 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 1679953657.

Contact Information

Shirley Phan,
1600 Sw Archer Rd,
Gainesville, FL 32610-8205
(352) 273-8610
Not Available

Map and Direction




Provider's Profile

Full NameShirley Phan
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience9 Years
Location1600 Sw Archer Rd, Gainesville, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shirley Phan graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1679953657
  • Provider Enumeration Date: 06/04/2015
  • Last Update Date: 04/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7315255999
  • Enrollment ID: I20150930003237

Medical Identifiers

Medical identifiers for Shirley Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679953657NPI-NPPES
112370400MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered ARNP2933272 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Florida Clinical Practice Association03451462541636
Anesthesia Dynamics Llc3779832530363

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. Shirley Phan allows following entities to bill medicare on her behalf.
Entity NameFlorida Clinical Practice Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063463768
PECOS PAC ID: 0345146254
Enrollment ID: O20031211000099
Entity NameAnesthesiologists Of Greater Orlando Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457300998
PECOS PAC ID: 7416928536
Enrollment ID: O20040803000929
Entity NameInnovative Medical Staffing Solutions Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629308713
PECOS PAC ID: 8022149764
Enrollment ID: O20100624000708
Entity NameFleming Island Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487945895
PECOS PAC ID: 6002084860
Enrollment ID: O20110721000345
Entity NameAnesthesia Physician Solutions Of North Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164932901
PECOS PAC ID: 5597066001
Enrollment ID: O20151228002033
Entity NameOrange Anesthesia Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902261761
PECOS PAC ID: 1951606680
Enrollment ID: O20160218000237
Entity NamePhysician Partners Of America Crna Operations Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992129365
PECOS PAC ID: 8022239722
Enrollment ID: O20160421000842
Entity NameFlorida Pain Relief Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376994608
PECOS PAC ID: 4688960271
Enrollment ID: O20160908000245
Entity NameAnesthesia Dynamics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20190820001117

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. Shirley Phan 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 AddressPractice Location Address
Shirley Phan,
9456 Worthington Ridge Rd,
Orlando, FL 32829-8205

Ph: (321) 206-8137		Shirley Phan,
1600 Sw Archer Rd,
Gainesville, FL 32610-8205

Ph: (352) 273-8610

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Gainesville, FL

William Craig Hicks, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610
Phone: 352-273-6438    
Henry Fontillas Patalinghug, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610
Phone: 352-273-6438    
Mrs. Victoria Chyvone Mejia, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 6500 W Newberry Rd, Gainesville, FL 32605
Phone: 352-333-4000    
Mr. Robert M Clonan, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610
Phone: 800-642-1999    Fax: 248-646-0361
Patricia Marie Petzold, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610
Phone: 800-642-1999    Fax: 248-646-0361
Robert Michael Guillot, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610
Phone: 352-265-8012    
Phyllis Mccarty, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 6500 W. Newberry Road, Gainesville, FL 32605
Phone: 352-333-4180    Fax: 352-333-4861

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.