| Dr Clayton Shick, DNP, CRNA | |
|
1100 E Norris Dr, Ottawa, IL 61350-1604 | |
| (815) 433-3100 | |
| Not Available |
| Full Name | Dr Clayton Shick |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 6 Years |
| Location | 1100 E Norris Dr, Ottawa, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689298036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209021336 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beloit Health System | Beloit, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rockford Gastroenterology Associates Ltd | 9931184082 | 25 |
| Ias Illinois Pc | 9638530991 | 61 |
| Entity Name | Ottawa Regional Hospital & Healthcare Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306971080 PECOS PAC ID: 9133029861 Enrollment ID: O20040109000910 |
| Entity Name | Rockford Gastroenterology Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447207741 PECOS PAC ID: 9931184082 Enrollment ID: O20040622001247 |
| Entity Name | Rockford Gastroenterology Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1871536763 PECOS PAC ID: 9931184082 Enrollment ID: O20100226000870 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Entity Name | Ias Illinois Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265118723 PECOS PAC ID: 9638530991 Enrollment ID: O20230802002876 |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |
Alyssa Norman, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1100 E Norris Dr, Ottawa, IL 61350 Phone: 815-433-3100 | |
Mr. Rodney Arthur Griffis, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1100 E Norris Dr, Ottawa, IL 61350 Phone: 815-433-3100 | |
Michelle Wessels, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1100 E Norris Dr, Ottawa, IL 61350 Phone: 815-431-5241 |