| Carolyn Cook, | |
|
7150 Clearvista Dr, Indianapolis, IN 46256-1695 | |
| (317) 621-5890 | |
| Not Available |
| Full Name | Carolyn Cook |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 7150 Clearvista Dr, Indianapolis, Indiana |
| 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 |
|---|---|---|---|
| 1790167575 | NPI | - | NPPES |
| 000000982590 | Other | IN | ANTHEM PROVIDER NUMBER |
| 201336930 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 28190791A (Indiana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 28190791A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Decatur County Memorial Hospital | 7315837671 | 76 |
| Entity Name | Arnett Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119 |
| Entity Name | Decatur County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952300477 PECOS PAC ID: 7315837671 Enrollment ID: O20040318001580 |
| Entity Name | St Vincent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144513375 PECOS PAC ID: 7012047640 Enrollment ID: O20100609000045 |
| Entity Name | Northstar Anesthesia Of Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043561541 PECOS PAC ID: 1153576905 Enrollment ID: O20130227000297 |
| Entity Name | Northstar Anesthesia Of Indiana Ii Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629475421 PECOS PAC ID: 6305161654 Enrollment ID: O20150210000088 |
| Entity Name | South Central Ohio Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700100419 PECOS PAC ID: 3678604493 Enrollment ID: O20160321000459 |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn Cook, Po Box 5545, Lafayette, IN 47903-5545 Ph: (765) 448-8000 | Carolyn Cook, 7150 Clearvista Dr, Indianapolis, IN 46256-1695 Ph: (317) 621-5890 |
Robert Beyerlein, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7150 Clearvista Dr, Indianapolis, IN 46256 Phone: 317-621-5890 Fax: 317-621-7884 | |
Kyley Struck, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7150 Clearvista Dr, Indianapolis, IN 46256 Phone: 317-621-5890 | |
Samantha L Dugan, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1701 N Senate Ave, Indianapolis, IN 46202 Phone: 317-274-0275 | |
John Patrick Haltom, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-274-0275 | |
Greg Daley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7150 Clearvista Dr, Indianapolis, IN 46256 Phone: 317-621-5890 | |
Dr. Sydney Ann Bramlett, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7150 Clearvista Dr, Indianapolis, IN 46256 Phone: 317-621-5890 | |
Michelo Andrew Chikonka, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-577-4200 Fax: 317-577-4200 |