Clayton Tyler Gregory, in Springfield, IL - Medicare Certified Registered Nurse Anesthetist (crna)

Clayton Tyler Gregory, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Springfield, Illinois. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Memorial Medical Center and his current practice location is 701 N 1st St, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 788-3000.

Clayton Tyler Gregory is licensed to practice in Illinois (license number 209017241) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376051789.

Contact Information

	Clayton Tyler Gregory,
	701 N 1st St, Springfield, IL 62781-0001
	(217) 788-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Clayton Tyler Gregory
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	7 Years
Location	701 N 1st St, Springfield, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Clayton Tyler Gregory graduated from nursing school in 2017

NPI Data:

NPI Number: 1376051789
Provider Enumeration Date: 01/19/2018
Last Update Date: 02/12/2018

Medicare PECOS Information:

PECOS PAC ID: 8224399720
Enrollment ID: I20180226000765

Medical Identifiers

Medical identifiers for Clayton Tyler Gregory such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376051789	NPI	-	NPPES
209017241	Other	IL	APN LICENSE
041376614	Other	IL	RN LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	209017241 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Medical Center	Springfield, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Memorial Medical Center	7315835949	111

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. Clayton Tyler Gregory allows following entities to bill medicare on his behalf.

Entity Name	Memorial Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033171343 PECOS PAC ID: 7315835949 Enrollment ID: O20040305000989

Entity Name	Memorial Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255393112 PECOS PAC ID: 7315835949 Enrollment ID: O20040713000579

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. Clayton Tyler Gregory 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
Clayton Tyler Gregory, Po Box 3428, Springfield, IL 62708-3428 Ph: (217) 588-2624	Clayton Tyler Gregory, 701 N 1st St, Springfield, IL 62781-0001 Ph: (217) 788-3000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Springfield, IL

Douglas Mcdonald Childs, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 800 E Carpenter St, Springfield, IL 62704 Phone: 217-525-5643 Fax: 217-544-2521
Carol A Gorden, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3754 Fax: 217-788-7071
Ann R Larson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Anesthesia Department, Springfield, IL 62781 Phone: 217-788-3754 Fax: 217-788-7071
Jenna Younker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62702 Phone: 217-525-5643 Fax: 217-544-2521
Kelsey A Wallace, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3000
Delores A Gallo, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541
Larry D. Sartore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 800 East Carpenter Street, Room 2k64, Springfield, IL 62769 Phone: 217-525-5643 Fax: 217-544-3311

Clayton Tyler Gregory, - Medicare Certified Registered Nurse Anesthetist (crna) in Springfield, IL