Amber Clark, in Decatur, AL - Medicare Nurse Anesthetist, Certified Registered

Amber Clark, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Decatur, Alabama. Her current practice location is 1201 7th St Se, Decatur, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 341-2000.

Amber Clark is licensed to practice in Alabama (license number 1-164452) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861062374.

Contact Information

	Amber Clark,
	1201 7th St Se, Decatur, AL 35601-3337
	(256) 341-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Amber Clark
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	1201 7th St Se, Decatur, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861062374
Provider Enumeration Date: 06/28/2021
Last Update Date: 08/25/2025

Medicare PECOS Information:

PECOS PAC ID: 7517326804
Enrollment ID: I20230705001519

Medical Identifiers

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

Identifier	Type	State	Issuer
1861062374	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	1-164452 (Alabama)	Primary

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

Entity Name	Crna Services Of Dgh
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306088471 PECOS PAC ID: 2466502455 Enrollment ID: O20090612000442

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. Amber 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
Amber Clark, Po Box 2239, Decatur, AL 35609-2239 Ph: () -	Amber Clark, 1201 7th St Se, Decatur, AL 35601-3337 Ph: (256) 341-2000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Decatur, AL

Anna Arora, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1122 14th Ave Se, Decatur, AL 35601 Phone: 256-560-2890 Fax: 256-764-9699
Sandra E. Barr, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1201 7th St Se, Decatur, AL 35601 Phone: 256-341-2000 Fax: 256-350-2609
Stacey V Pepper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1201 7th St Se, Decatur, AL 35601 Phone: 256-341-2000
Darrel L. Cooper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1201 7th St Se, Decatur, AL 35601 Phone: 256-355-2281
Virginia A. Holden, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1201 7th St Se, Decatur, AL 35601 Phone: 256-341-2000 Fax: 256-350-2609
Mr. Donald Evans Aday, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1201 7th St Se, Decatur, AL 35601 Phone: 256-341-2000
Elizabeth Terry Bryant, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1201 7th St Se, Decatur, AL 35601 Phone: 256-973-2000

Amber Clark, - Medicare Nurse Anesthetist, Certified Registered in Decatur, AL