Domenica Camaci-douleh, - Medicare Certified Registered Nurse Anesthetist (crna) in Mattoon, IL

  1. Home
  2. Nurse Anesthetist - CR
  3. IL
  4. Mattoon
Domenica Camaci-douleh, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mattoon, Illinois. She graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Sarah Bush Lincoln Health Center and her current practice location is 1000 Health Center Dr, Mattoon, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 258-2440.

Domenica Camaci-douleh is licensed to practice in Illinois (license number 209027636) 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 1528756673.

Contact Information

Domenica Camaci-douleh,
1000 Health Center Dr,
Mattoon, IL 61938-4644
(217) 258-2440
(217) 258-2186

Map and Direction




Provider's Profile

Full NameDomenica Camaci-douleh
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience2 Years
Location1000 Health Center Dr, Mattoon, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Domenica Camaci-douleh graduated from nursing school in 2023
  NPI Data:
  • NPI Number: 1528756673
  • Provider Enumeration Date: 04/26/2023
  • Last Update Date: 06/26/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3779939228
  • Enrollment ID: I20231019002899

Medical Identifiers

Medical identifiers for Domenica Camaci-douleh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528756673NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 209027636 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sarah Bush Lincoln Health CenterMattoon, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sarah Bush Lincoln Health Center5092614867359

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. Domenica Camaci-douleh allows following entities to bill medicare on her behalf.
Entity NameAdvocate Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064
Entity NameSarah Bush Lincoln Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669564662
PECOS PAC ID: 5092614867
Enrollment ID: O20031231000478

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. Domenica Camaci-douleh 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 AddressPractice Location Address
Domenica Camaci-douleh,
Po Box 372,
Mattoon, IL 61938-0372

Ph: (217) 868-2812		Domenica Camaci-douleh,
1000 Health Center Dr,
Mattoon, IL 61938-4644

Ph: (217) 258-2440

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Mattoon, IL

Vincent P Cagungun, RN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Health Center Dr, Mattoon, IL 61938
Phone: 217-258-4006    
Erin M. Hein, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Health Center Dr, Mattoon, IL 61938
Phone: 217-258-2440    Fax: 217-258-2186
Tara L Crews, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Health Center Dr, Mattoon, IL 61938
Phone: 217-258-2440    
Allyson Anderson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Health Center Dr Ste 201, Mattoon, IL 61938
Phone: 217-258-2525    
Nicholas Halford, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Health Center Dr, Mattoon, IL 61938
Phone: 217-258-2440    Fax: 217-258-2186
Ms. Mallory Michelle Light, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Health Center Dr, Mattoon, IL 61938
Phone: 217-258-2440    Fax: 217-258-2186
Marshall Ashby, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Health Center Dr, Mattoon, IL 61938
Phone: 217-258-2440    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.