Tamra L Domescik-rink, CRNA - Medicare Nurse Anesthetist, Certified Registered in Springfield, IL

  1. Home
  2. Nurse Anesthetist - CR
  3. IL
  4. Springfield
Tamra L Domescik-rink, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Springfield, Illinois. Her current practice location is 1025 S 6th St, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 528-7541.

Tamra L Domescik-rink is licensed to practice in Illinois (license number 209009362) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1356613590.

Contact Information

Tamra L Domescik-rink, CRNA
1025 S 6th St,
Springfield, IL 62703-2403
(217) 528-7541
(217) 528-7616

Map and Direction




Provider's Profile

Full NameTamra L Domescik-rink
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location1025 S 6th St, Springfield, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356613590
  • Provider Enumeration Date: 02/03/2012
  • Last Update Date: 10/07/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4789847591
  • Enrollment ID: I20120515000147

Medical Identifiers

Medical identifiers for Tamra L Domescik-rink such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356613590NPI-NPPES
041310664OtherIL RN LICENSE
209009362OtherILIL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 209009362 (Illinois)Primary

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. Tamra L Domescik-rink allows following entities to bill medicare on her behalf.
Entity NameCarlinville Area Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932275641
PECOS PAC ID: 9032021373
Enrollment ID: O20031104000520
Entity NameSarah Bush Lincoln Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669564662
PECOS PAC ID: 5092614867
Enrollment ID: O20031231000478
Entity NameSpringfield Clinic, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780638478
PECOS PAC ID: 0547166076
Enrollment ID: O20040331000826
Entity NameSpringfield Clinic, Llp
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1992752224
PECOS PAC ID: 0547166076
Enrollment ID: O20071226000368
Entity NameAnesthesia Pain Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790075489
PECOS PAC ID: 6507930526
Enrollment ID: O20080808000180

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. Tamra L Domescik-rink 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
Tamra L Domescik-rink, CRNA
1025 S 6th St,
Springfield, IL 62703-2403

Ph: (217) 528-7541		Tamra L Domescik-rink, CRNA
1025 S 6th St,
Springfield, IL 62703-2403

Ph: (217) 528-7541

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Springfield, IL

Douglas Mcdonald Childs, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
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: Accepting Medicare Assignments
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: Accepting Medicare Assignments
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

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.