John Clarke, is a medicare enrolled "Anesthesiology" physician in Clearlake, California. He graduated from medical school in 1980 and has 44 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Lyons Huber Management and his current practice location is
15630 18th Ave, Clearlake, California. You can reach out to his office (for appointments etc.) via phone at
(707) 994-6486.
John Clarke is licensed to practice in California (license number NA1636) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053329359.
Physician's Profile
Full Name | John Clarke |
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Gender | Male |
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Speciality | Certified Registered Nurse Anesthetist (crna) |
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Experience | 44 Years |
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Location | 15630 18th Ave, Clearlake, California |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- John Clarke graduated from medical school in 1980
NPI Data:
- NPI Number: 1053329359
- Provider Enumeration Date: 08/03/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5890782619
- Enrollment ID: I20040707000687
Medical Identifiers
Medical identifiers for John Clarke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053329359 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | NA1636 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Lyons Huber Management | 4789093741 | 17 |
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. John Clarke allows following entities to bill medicare on his behalf.
Entity Name | Paramount Anesthesia Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598901308 PECOS PAC ID: 1850458829 Enrollment ID: O20090318000245 |
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Entity Name | Lyons Huber Management |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891370854 PECOS PAC ID: 4789093741 Enrollment ID: O20210504002949 |
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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. John Clarke 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 |
John Clarke, 1750 Westlake Dr, Kelseyville, CA 95451-7049 Ph: (707) 994-6486 | John Clarke, 15630 18th Ave, Clearlake, CA 95422 Ph: (707) 994-6486 |
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