Ms Jessica Clark, CAA in Hollywood, FL - Medicare Anesthesiology Assistant

Ms Jessica Clark, CAA is a medicare enrolled "Anesthesiologist Assistant" in Hollywood, Florida. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Anesthesiology Assistant. She is a member of the group practice American Anesthesiology Services Of Florida Inc and her current practice location is 3501 Johnson St, Hollywood, Florida. You can reach out to her office (for appointments etc.) via phone at (954) 265-5423.

Ms Jessica Clark is licensed to practice in Florida (license number AA559) 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 1972051803.

Contact Information

	Ms Jessica Clark, CAA
	3501 Johnson St, Hollywood, FL 33021-5421
	(954) 265-5423
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Jessica Clark
Gender	Female
Speciality	Anesthesiology Assistant
Experience	8 Years
Location	3501 Johnson St, Hollywood, Florida
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:

Ms Jessica Clark graduated from nursing school in 2016

NPI Data:

NPI Number: 1972051803
Provider Enumeration Date: 09/20/2016
Last Update Date: 05/04/2020

Medicare PECOS Information:

PECOS PAC ID: 0244513034
Enrollment ID: I20200604001863

Medical Identifiers

Medical identifiers for Ms Jessica Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972051803	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367H00000X	Anesthesiologist Assistant	AA2016-005 (New Mexico)	Secondary
367H00000X	Anesthesiologist Assistant	AA559 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Holy Cross Hospital	Fort lauderdale, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
American Anesthesiology Services Of Florida Inc	1850674540	257

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. Ms Jessica Clark allows following entities to bill medicare on her behalf.

Entity Name	American Anesthesiology Of Florida Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679592893 PECOS PAC ID: 9133390313 Enrollment ID: O20111107000594

Entity Name	American Anesthesiology Services Of Florida Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508318387 PECOS PAC ID: 1850674540 Enrollment ID: O20170202001989

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. Ms Jessica Clark 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
Ms Jessica Clark, CAA 3501 Johnson St, Hollywood, FL 33021-5421 Ph: (954) 265-5423	Ms Jessica Clark, CAA 3501 Johnson St, Hollywood, FL 33021-5421 Ph: (954) 265-5423

Reviews and Comments

Anesthesiologist Assistant Nurses in Hollywood, FL

Lucia Mazza, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3501 Johnson St, Hollywood, FL 33021 Phone: 954-987-2000
Nicole Leslie Jones, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 3600 Washington St, Hollywood, FL 33021 Phone: 954-966-4500
Julia Smith, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1005 Joe Dimaggio Dr, Hollywood, FL 33021 Phone: 954-265-5324
Nga Le, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 3600 Washington St, Hollywood, FL 33021 Phone: 855-367-3650
Sara Patricia Brusco, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 3501 Johnson Street, Hollywood, FL 33021 Phone: 239-332-5344 Fax: 239-332-7246
Mr. Adam M Fernandez Sr., CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 3600 Washington St, Hollywood, FL 33021 Phone: 954-985-6310
Ms. Jana Angel, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3501 Johnson St, Hollywood, FL 33021 Phone: 954-987-5662

Ms Jessica Clark, CAA - Medicare Anesthesiology Assistant in Hollywood, FL