Shelby L Denicke, CRNA | |
800 E Carpenter St, Springfield, IL 62769-2417 | |
(217) 544-6464 | |
Not Available |
Full Name | Shelby L Denicke |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 13 Years |
Location | 800 E Carpenter St, Springfield, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235400623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 2012001557 (Missouri) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 209020424 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North American Partners In Anesthesia Illinois Llc | 1052576519 | 306 |
Entity Name | North American Partners In Anesthesia Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534 |
Mailing Address | Practice Location Address |
---|---|
Shelby L Denicke, CRNA 800 E Carpenter St, Springfield, IL 62769-1000 Ph: (217) 544-6464 | Shelby L Denicke, CRNA 800 E Carpenter St, Springfield, IL 62769-2417 Ph: (217) 544-6464 |
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 |