Trezah Clark, CRNA in Colton, CA - Medicare Certified Registered Nurse Anesthetist (crna)

Trezah Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Colton, California. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Ias Arizona Pllc and her current practice location is 400 N Pepper Ave, Colton, California. You can reach out to her office (for appointments etc.) via phone at (909) 580-2440.

Trezah Clark is licensed to practice in California (license number 106050) 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 1518358027.

Contact Information

	Trezah Clark, CRNA
	400 N Pepper Ave, Colton, CA 92324-1801
	(909) 580-2440
	Not Available

Map and Direction

Provider's Profile

Full Name	Trezah Clark
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	10 Years
Location	400 N Pepper Ave, Colton, California
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:

Trezah Clark graduated from nursing school in 2014

NPI Data:

NPI Number: 1518358027
Provider Enumeration Date: 02/05/2015
Last Update Date: 02/05/2015

Medicare PECOS Information:

PECOS PAC ID: 6002134178
Enrollment ID: I20231011003616

Medical Identifiers

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

Identifier	Type	State	Issuer
1518358027	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	106050 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tucson Medical Center	Tucson, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ias Arizona Pllc	7517312648	145

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. Trezah Clark allows following entities to bill medicare on her behalf.

Entity Name	Ias Arizona Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689359747 PECOS PAC ID: 7517312648 Enrollment ID: O20231010003129

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. Trezah 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
Trezah Clark, CRNA 1265 Kendall Dr Apt 1025, San Bernardino, CA 92407-4113 Ph: () -	Trezah Clark, CRNA 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (909) 580-2440

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Colton, CA

Mr. Richard William Reis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 North Pepper Avenue 2nd Floor, Anesthesia Dept., Inland Empire Anesthesia Medical Group, Inc., Colton, CA 92324 Phone: 909-580-2440 Fax: 909-580-2441
Elizabeth Karenina Manullang, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 877-873-2762
Ivan Stiger, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-2440
Mr. Michael T Reid, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 E Washington St, Ste. 100, Colton, CA 92324 Phone: 909-370-2190
Daniel Hioe, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-2440
Mr. Dale Arthur Reile, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave Fl 2, Inland Empire Anesthesia Medical Group, Inc., Colton, CA 92324 Phone: 909-580-2440 Fax: 909-580-2441
Cheryl Sisler Carr, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Anesthesia Dept, 2nd Floor, Colton, CA 92324 Phone: 909-580-2440

Trezah Clark, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Colton, CA