Dr Clayton Shick, DNP, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Ottawa, Illinois. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Stateline Anesthesiologists Sc and his current practice location is
1100 E Norris Dr, Ottawa, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 433-3100.
Dr Clayton Shick is licensed to practice in Illinois (license number 209021336) 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 1689298036.
Provider's Profile
| Full Name | Dr Clayton Shick |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 4 Years |
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| Location | 1100 E Norris Dr, Ottawa, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Clayton Shick graduated from nursing school in 2020
NPI Data:
- NPI Number: 1689298036
- Provider Enumeration Date: 06/02/2020
- Last Update Date: 06/02/2020
Medicare PECOS Information:
- PECOS PAC ID: 2062835168
- Enrollment ID: I20230120001815
Medical Identifiers
Medical identifiers for Dr Clayton Shick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1689298036 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 209021336 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Stateline Anesthesiologists Sc | 1355353822 | 11 |
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. Dr Clayton Shick allows following entities to bill medicare on his behalf.
| Entity Name | Stateline Anesthesiologists Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316937519
PECOS PAC ID: 1355353822
Enrollment ID: O20060627000180 |
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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. Dr Clayton Shick 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 |
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Dr Clayton Shick, DNP, CRNA
3100 Birmingham Dr,
Glen Carbon, IL 62034-3059
Ph: () - | Dr Clayton Shick, DNP, CRNA
1100 E Norris Dr,
Ottawa, IL 61350-1604
Ph: (815) 433-3100 |
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