Clarissa Latulip, CRNA - Medicare Nurse Anesthetist, Certified Registered in Normal, IL

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Clarissa Latulip, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Normal, Illinois. Her current practice location is 1302 Franklin Ave, Normal, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 268-5867.

Clarissa Latulip is licensed to practice in Illinois (license number 209.0267333) 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 1053022632.

Contact Information

Clarissa Latulip, CRNA
1302 Franklin Ave,
Normal, IL 61761-3551
(309) 268-5867
Not Available

Map and Direction




Provider's Profile

Full NameClarissa Latulip
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location1302 Franklin Ave, Normal, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053022632
  • Provider Enumeration Date: 12/05/2022
  • Last Update Date: 03/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9739537234
  • Enrollment ID: I20231121003903

Medical Identifiers

Medical identifiers for Clarissa Latulip such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053022632NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC0200XRegistered Nurse - Critical Care Medicine 041.441783 (Illinois)Secondary
367500000XNurse Anesthetist, Certified Registered 209.0267333 (Illinois)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. Clarissa Latulip allows following entities to bill medicare on her behalf.
Entity NameCarle West Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467074138
PECOS PAC ID: 8921420308
Enrollment ID: O20200613000147

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. Clarissa Latulip 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
Clarissa Latulip, CRNA
1302 Franklin Ave,
Normal, IL 61761-3551

Ph: (309) 268-5867		Clarissa Latulip, CRNA
1302 Franklin Ave,
Normal, IL 61761-3551

Ph: (309) 268-5867

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Normal, IL

Ann Schoen, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 1304 Franklin Ave, Normal, IL 61761
Phone: 309-454-1400    
Leah Dean, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1302 Franklin Ave, Normal, IL 61761
Phone: 309-268-5867    
Anthony Griffin, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1302 Franklin Ave, Normal, IL 61761
Phone: 309-268-5867    
Anthony Cienfuegos, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1302 Franklin Ave, Normal, IL 61761
Phone: 309-268-5867    
Mr. Dodi Suhari, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1304 Franklin Ave, Normal, IL 61761
Phone: 309-454-1400    
Verna L Auge, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1302 Franklin Ave Ste 1000, Normal, IL 61761
Phone: 309-268-3400    
Marcia Robinson, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1304 Franklin Ave, Normal, IL 61761
Phone: 309-454-1400    

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.