Sierra Shively, CRNA in Manchester, NH - Medicare Nurse Anesthetist, Certified Registered

Sierra Shively, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Manchester, New Hampshire. Her current practice location is 100 Mcgregor St, Manchester, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 668-3545.

Sierra Shively is licensed to practice in New Hampshire (license number 113546-23) 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 1124831730.

Contact Information

	Sierra Shively, CRNA
	100 Mcgregor St, Manchester, NH 03102-3770
	(603) 668-3545
	Not Available

Map and Direction

Provider's Profile

Full Name	Sierra Shively
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	100 Mcgregor St, Manchester, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124831730
Provider Enumeration Date: 01/28/2025
Last Update Date: 02/07/2025

Medicare PECOS Information:

PECOS PAC ID: 8325560568
Enrollment ID: I20250318001007

Medical Identifiers

Medical identifiers for Sierra Shively such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124831730	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	113546-23 (New Hampshire)	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. Sierra Shively allows following entities to bill medicare on her behalf.

Entity Name	Granite State Anesthesia Partners, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821815010 PECOS PAC ID: 6709315708 Enrollment ID: O20250121001023

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. Sierra Shively 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
Sierra Shively, CRNA 2 Stagecoach Ln, Bedford, NH 03110-5505 Ph: (303) 956-6595	Sierra Shively, CRNA 100 Mcgregor St, Manchester, NH 03102-3770 Ph: (603) 668-3545

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Manchester, NH

Bethany Peattie, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Mcgregor St, Manchester, NH 03102 Phone: 603-668-3545 Fax: 434-517-3021
Laura Slason Dobens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Elliot Way, Manchester, NH 03103 Phone: 603-663-2315 Fax: 603-647-9180
Kellie Cosgrove, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Hitchcock Way, Manchester, NH 03104 Phone: 603-695-2500
Ian Doherty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Elliot Way Ste 200, Manchester, NH 03103 Phone: 603-663-2315
Michael Pierce, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Mcgregor St, Manchester, NH 03102 Phone: 603-668-3545
Brenda S Stevens, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Elliot Way, Manchester, NH 03103 Phone: 603-663-2315 Fax: 603-647-9180
Concetta Mcalister, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Elliot Way, Manchester, NH 03103 Phone: 603-663-2315 Fax: 603-647-9180

Sierra Shively, CRNA - Medicare Nurse Anesthetist, Certified Registered in Manchester, NH