Ms Elizabeth Koob Clyne, CRNA in Saint Louis, MO - Medicare Certified Registered Nurse Anesthetist (crna)

Ms Elizabeth Koob Clyne, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Saint Louis, Missouri. She graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Eye Anesthesia Llc, Viking Anesthesia Services Llc and her current practice location is 12634 Olive Blvd, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 996-8378.

Ms Elizabeth Koob Clyne is licensed to practice in Missouri (license number 2002001428) 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 1679529655.

Contact Information

	Ms Elizabeth Koob Clyne, CRNA
	12634 Olive Blvd, Saint Louis, MO 63141-6337
	(314) 996-8378
	(314) 996-8910

Map and Direction

Provider's Profile

Full Name	Ms Elizabeth Koob Clyne
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	18 Years
Location	12634 Olive Blvd, Saint Louis, Missouri
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:

Ms Elizabeth Koob Clyne graduated from nursing school in 2006

NPI Data:

NPI Number: 1679529655
Provider Enumeration Date: 05/25/2006
Last Update Date: 11/08/2012

Medicare PECOS Information:

PECOS PAC ID: 3476558594
Enrollment ID: I20060925000216

Medical Identifiers

Medical identifiers for Ms Elizabeth Koob Clyne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679529655	NPI	-	NPPES
600420060	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	2002001428 (Missouri)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Eye Anesthesia Llc	5698922581	13
Viking Anesthesia Services Llc	8628393972	5

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. Ms Elizabeth Koob Clyne allows following entities to bill medicare on her behalf.

Entity Name	Metro-west Anesthesia Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245427335 PECOS PAC ID: 2163329921 Enrollment ID: O20031218000563

Entity Name	Eye Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528334182 PECOS PAC ID: 5698922581 Enrollment ID: O20120828000886

Entity Name	Viking Anesthesia Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962809244 PECOS PAC ID: 8628393972 Enrollment ID: O20150210000198

Entity Name	Sw Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306319769 PECOS PAC ID: 6204175649 Enrollment ID: O20190304000483

Entity Name	Gateway Anesthesia Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457040479 PECOS PAC ID: 0840651626 Enrollment ID: O20230726000985

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. Ms Elizabeth Koob Clyne 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
Ms Elizabeth Koob Clyne, CRNA 660 S Euclid Ave, C B 8054, Saint Louis, MO 63110-1010 Ph: (314) 996-8378	Ms Elizabeth Koob Clyne, CRNA 12634 Olive Blvd, Saint Louis, MO 63141-6337 Ph: (314) 996-8378

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Saint Louis, MO

Ms. Mary Katherine Kinworthy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12634 Olive Blvd, Dept Anesthesiology, Saint Louis, MO 63141 Phone: 800-862-9980 Fax: 314-362-1185
Ms. Kelsey Elise Fogus, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185
Ms. Claira J Sousa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185
Claire Aubuchon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 129 N Ballas Rd, Saint Louis, MO 63122 Phone: 314-996-5330 Fax: 314-810-1399
Mr. Aaron M Weinzettel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185
Ms. Tracy Lanes, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-362-6973 Fax: 314-362-1185
Mr. Michael Mccamley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 12634 Olive Blvd, Saint Louis, MO 63141 Phone: 314-996-8685 Fax: 314-996-8479

Ms Elizabeth Koob Clyne, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Saint Louis, MO