Savannah A Clark, CRNA in Lebanon, MO - Medicare Certified Registered Nurse Anesthetist (crna)

Savannah A Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lebanon, Missouri. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Citizens Memorial Hospital District and her current practice location is 100 Hospital Dr, Lebanon, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 533-6100.

Savannah A Clark is licensed to practice in Missouri (license number 2013026436) 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 1992147615.

Contact Information

	Savannah A Clark, CRNA
	100 Hospital Dr, Lebanon, MO 65536-9210
	(417) 533-6100
	Not Available

Map and Direction

Provider's Profile

Full Name	Savannah A Clark
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	11 Years
Location	100 Hospital Dr, Lebanon, Missouri
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:

Savannah A Clark graduated from nursing school in 2013

NPI Data:

NPI Number: 1992147615
Provider Enumeration Date: 07/23/2013
Last Update Date: 04/23/2021

Medicare PECOS Information:

PECOS PAC ID: 5092949214
Enrollment ID: I20131001000495

Medical Identifiers

Medical identifiers for Savannah A Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992147615	NPI	-	NPPES
431560263	Other	MO	TRICARE
P01235238	Other	MO	RR MCR
1992147615	Medicaid	MO
199441001	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	2013026436 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Citizens Memorial Hospital	Bolivar, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Citizens Memorial Hospital District	2769574433	28

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. Savannah A Clark allows following entities to bill medicare on her behalf.

Entity Name	Citizens Memorial Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558548818 PECOS PAC ID: 2769574433 Enrollment ID: O20070827000044

Entity Name	Guardian Anesthesia Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215366307 PECOS PAC ID: 6608005111 Enrollment ID: O20140203001776

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. Savannah A 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
Savannah A Clark, CRNA 100 Hospital Dr, Lebanon, MO 65536-9210 Ph: (417) 533-6100	Savannah A Clark, CRNA 100 Hospital Dr, Lebanon, MO 65536-9210 Ph: (417) 533-6100

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Lebanon, MO

Debra A Hoerth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 120 Hospital Dr, Lebanon, MO 65536 Phone: 417-533-6100
David Houzenga, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 120 Hospital Dr, Lebanon, MO 65536 Phone: 417-533-6100
Sara L Kruse, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Lebanon, MO 65536 Phone: 417-533-6026
Susan Love, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Dr, Lebanon, MO 65536 Phone: 417-533-6100
Mr. Nathan S Larson, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 100 Hospital Dr, Lebanon, MO 65536 Phone: 417-533-6100 Fax: 417-533-6021
Janice A Shore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Dr, Lebanon, MO 65536 Phone: 800-277-8151 Fax: 336-841-6217
Desiree Calbert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr, Lebanon, MO 65536 Phone: 417-533-6100

Savannah A Clark, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Lebanon, MO