Shelby L Denicke, CRNA in Springfield, IL - Medicare Certified Registered Nurse Anesthetist (crna)

Shelby L Denicke, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Springfield, Illinois. She graduated from nursing school in 2011 and has 15 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Washington University, South County Anesthesia Associates Ltd, North American Partners In Anesthesia Illinois Llc, Ambulatory Anesthesia Services Of St. Charles, Llc and her current practice location is 800 E Carpenter St, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 544-6464.

Shelby L Denicke is licensed to practice in Illinois (license number 209020424) 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 1235400623.

Contact Information

	Shelby L Denicke, CRNA
	800 E Carpenter St, Springfield, IL 62769-2417
	(217) 544-6464
	Not Available

Map and Direction

Provider's Profile

Full Name	Shelby L Denicke
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	15 Years
Location	800 E Carpenter St, Springfield, 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.

Medical Education and Training:

Shelby L Denicke graduated from nursing school in 2011

NPI Data:

NPI Number: 1235400623
Provider Enumeration Date: 01/18/2012
Last Update Date: 07/15/2024

Medicare PECOS Information:

PECOS PAC ID: 4587826862
Enrollment ID: I20120502000644

Medical Identifiers

Medical identifiers for Shelby L Denicke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235400623	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	2012001557 (Missouri)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	209020424 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Hospital South	Saint louis, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Washington University	9830008770	3047
South County Anesthesia Associates Ltd	4082510383	79
North American Partners In Anesthesia Illinois Llc	1052576519	421
Ambulatory Anesthesia Services Of St. Charles, Llc	3173604782	13

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. Shelby L Denicke allows following entities to bill medicare on her behalf.

Entity Name	Washington University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528005642 PECOS PAC ID: 9830008770 Enrollment ID: O20031118001093

Entity Name	South County Anesthesia Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821031659 PECOS PAC ID: 4082510383 Enrollment ID: O20031209000161

Entity Name	Ambulatory Anesthesia Services Of St. Charles, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467634097 PECOS PAC ID: 3173604782 Enrollment ID: O20080121000079

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. Shelby L Denicke 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
Shelby L Denicke, CRNA 800 E Carpenter St, Springfield, IL 62769-1000 Ph: (217) 544-6464	Shelby L Denicke, CRNA 800 E Carpenter St, Springfield, IL 62769-2417 Ph: (217) 544-6464

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Springfield, IL

Douglas Mcdonald Childs, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62704 Phone: 217-525-5643 Fax: 217-544-2521
Carol A Gorden, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3754 Fax: 217-788-7071
Ann R Larson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 701 N 1st St, Anesthesia Department, Springfield, IL 62781 Phone: 217-788-3754 Fax: 217-788-7071
Jenna Younker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62702 Phone: 217-525-5643 Fax: 217-544-2521
Kelsey A Wallace, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3000
Delores A Gallo, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1025 S 6th St, Springfield, IL 62703 Phone: 217-528-7541
Larry D. Sartore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 800 East Carpenter Street, Room 2k64, Springfield, IL 62769 Phone: 217-525-5643 Fax: 217-544-3311

Shelby L Denicke, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Springfield, IL