Chelsey M Clark, DNP, CRNA in Decatur, IL - Medicare Certified Registered Nurse Anesthetist (crna)

Chelsey M Clark, DNP, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Decatur, Illinois. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Decatur Memorial Hospital and her current practice location is 2300 N Edward St, Decatur, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 876-8121.

Chelsey M Clark is licensed to practice in Illinois (license number 209.020885) 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 1114550944.

Contact Information

	Chelsey M Clark, DNP, CRNA
	2300 N Edward St, Decatur, IL 62526-4163
	(217) 876-8121
	Not Available

Map and Direction

Provider's Profile

Full Name	Chelsey M Clark
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	5 Years
Location	2300 N Edward St, Decatur, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Chelsey M Clark graduated from nursing school in 2019

NPI Data:

NPI Number: 1114550944
Provider Enumeration Date: 02/20/2020
Last Update Date: 02/20/2020

Medicare PECOS Information:

PECOS PAC ID: 0244669984
Enrollment ID: I20200401001948

Medical Identifiers

Medical identifiers for Chelsey M Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114550944	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	209.020885 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Decatur Memorial Hospital	Decatur, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Decatur Memorial Hospital	6204731144	135

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. Chelsey M Clark allows following entities to bill medicare on her behalf.

Entity Name	Decatur Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548357973 PECOS PAC ID: 6204731144 Enrollment ID: O20031208000534

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. Chelsey M Clark 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
Chelsey M Clark, DNP, CRNA 2300 N Edward St, Decatur, IL 62526-4192 Ph: (217) 876-8121	Chelsey M Clark, DNP, CRNA 2300 N Edward St, Decatur, IL 62526-4163 Ph: (217) 876-8121

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Decatur, IL

Cullen Whicker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-2575
Janet L Gaither, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 899 E Lake Shore Dr Apt 2c, Decatur, IL 62521 Phone: 217-428-7596 Fax: 217-788-7071
Brittney L Jeffery, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-2275 Fax: 217-876-2281
Mrs. Lindsay Beth Beery, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-8121 Fax: 217-876-2261
Mary A Beam, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2729 Fax: 217-464-1693
Katherine Ann Fergin, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward, Decatur, IL 62526 Phone: 217-876-8121 Fax: 217-876-2261

Chelsey M Clark, DNP, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Decatur, IL