| Patrick W Clark, MD | |
|
1800 Medical Center Pkwy, Suite 330, Murfreesboro, TN 37129-2567 | |
| (615) 396-4464 | |
| (615) 396-6748 |
| Full Name | Patrick W Clark |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 18 Years |
| Location | 1800 Medical Center Pkwy, Murfreesboro, Tennessee |
| 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 |
|---|---|---|---|
| 1407036841 | NPI | - | NPPES |
| P00954898 | Other | TN | RR MEDICARE |
| 4300340 | Other | TN | BLUE CROSS BLUE SHIELD |
| 1524317 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 47459 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Thomas Rutherford Hospital | Murfreesboro, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Center Anesthesia, Inc | 2769629187 | 108 |
| Murfreesboro Anesthesia Group, P.a. | 9335038868 | 55 |
| Entity Name | Murfreesboro Anesthesia Group, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912959867 PECOS PAC ID: 9335038868 Enrollment ID: O20040312001032 |
| Entity Name | American Anesthesiology Of Tennessee Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609822998 PECOS PAC ID: 9931001922 Enrollment ID: O20040713001364 |
| Entity Name | Medical Center Anesthesia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447591730 PECOS PAC ID: 2769629187 Enrollment ID: O20130502000265 |
| Entity Name | Physynergy Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124455969 PECOS PAC ID: 6204081292 Enrollment ID: O20131127000891 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick W Clark, MD Po Box 1252, Murfreesboro, TN 37133-1252 Ph: (615) 396-4464 | Patrick W Clark, MD 1800 Medical Center Pkwy, Suite 330, Murfreesboro, TN 37129-2567 Ph: (615) 396-4464 |
Eric Young, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1272 Garrison Dr, Murfreesboro, TN 37129 Phone: 161-589-3448 | |
Dr. Stephanie Petrina Noack, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1272 Garrison Dr, Murfreesboro, TN 37129 Phone: 615-893-4480 | |
Gregory Bryan Terry, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Medical Center Pkwy, Suite 330, Murfreesboro, TN 37129 Phone: 615-396-4464 Fax: 615-396-6748 | |
Kenneth F Caissie, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1800 Medical Center Pkwy, Suite 330, Murfreesboro, TN 37129 Phone: 615-396-4464 Fax: 615-396-6748 | |
Andrew M Wright, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Medical Center Pkwy, Suite 330, Murfreesboro, TN 37129 Phone: 615-396-4464 Fax: 615-396-6748 | |
Shyam A Jha, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 528 N University St, Murfreesboro, TN 37130 Phone: 615-968-7727 Fax: 615-467-8587 | |
Dr. Akshay Menon, M.D Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 625 N Highland Ave Ste 2a, Murfreesboro, TN 37130 Phone: 615-661-7888 Fax: 615-661-9001 |