Thomas Bennett Clark Jr, CRNA | |
1959 Ne Pacific St, Seattle, WA 98195-0001 | |
(206) 520-5000 | |
Not Available |
Full Name | Thomas Bennett Clark Jr |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 18 Years |
Location | 1959 Ne Pacific St, Seattle, Washington |
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 |
---|---|---|---|
1245301894 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | AP60093669 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Virginia Mason Memorial | Yakima, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Yakima Valley Memorial Physicians | 1557391596 | 250 |
Gastroenterology Associates Clinical Practice Pllc | 2062770605 | 7 |
Entity Name | Yakima Valley Memorial Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306933940 PECOS PAC ID: 1557391596 Enrollment ID: O20050818000714 |
Entity Name | Gastroenterology Associates Clinical Practice Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811556442 PECOS PAC ID: 2062770605 Enrollment ID: O20191025001578 |
Mailing Address | Practice Location Address |
---|---|
Thomas Bennett Clark Jr, CRNA Po Box 50095, Seattle, WA 98145-5095 Ph: () - | Thomas Bennett Clark Jr, CRNA 1959 Ne Pacific St, Seattle, WA 98195-0001 Ph: (206) 520-5000 |
Timothy D Butterworth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-520-5000 | |
Mrs. Sara Beth Maples, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, Box 356540, Seattle, WA 98195 Phone: 206-598-4260 | |
Simran Kennedy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 325 9th Ave, Box 359724, Seattle, WA 98104 Phone: 206-744-8491 Fax: 206-744-8009 | |
Michael Mielniczek, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, Seattle, WA 98195 Phone: 206-520-5000 | |
Justin R. Howard, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, Seattle, WA 98195 Phone: 206-520-5000 | |
Peyton G. Lane, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-520-5000 | |
Timothy Linn Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-744-3000 |