| Clarissa Cienfuegos, CRNA | |
|
1302 Franklin Ave, Normal, IL 61761-3551 | |
| (309) 268-5867 | |
| Not Available |
| Full Name | Clarissa Cienfuegos |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 1302 Franklin Ave, Normal, 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 |
|---|---|---|---|
| 1053022632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209.0267333 (Illinois) | Primary |
| 163WC0200X | Registered Nurse - Critical Care Medicine | 041.441783 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carle Bromenn Medical Center | Normal, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carle West Physician Group Inc | 8921420308 | 282 |
| Carle Health Care Incorporated | 3577515774 | 1592 |
| Entity Name | Carle Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
| Entity Name | Carle West Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Clarissa Cienfuegos, CRNA 611 W Park St, Fapc, Urbana, IL 61801-2500 Ph: Not Available | Clarissa Cienfuegos, CRNA 1302 Franklin Ave, Normal, IL 61761-3551 Ph: (309) 268-5867 |
Abdi Hassan, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-268-5227 |
Leah Dean, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, Normal, IL 61761 Phone: 309-268-5867 |
Anthony Griffin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, Normal, IL 61761 Phone: 309-268-5867 |
Anthony Cienfuegos, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, Normal, IL 61761 Phone: 309-268-5867 |
Mr. Dodi Suhari, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-454-1400 |
Mr. Roy G. Haynes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2200 Jacobssen Dr Ste B, Normal, IL 61761 Phone: 309-451-1123 Fax: 309-451-1212 |
Valentina Fillman, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-454-1400 |