Amy Leigh Clark, in Norfolk, VA - Medicare Nurse Anesthetist, Certified Registered

Amy Leigh Clark, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Norfolk, Virginia. Her current practice location is 600 Gresham Dr, Norfolk, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 388-3000.

Amy Leigh Clark is licensed to practice in Virginia (license number 0024184875) 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 1013658913.

Contact Information

	Amy Leigh Clark,
	600 Gresham Dr, Norfolk, VA 23507-1904
	(757) 388-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Amy Leigh Clark
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	600 Gresham Dr, Norfolk, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013658913
Provider Enumeration Date: 04/05/2022
Last Update Date: 07/23/2025

Medicare PECOS Information:

PECOS PAC ID: 7618343831
Enrollment ID: I20221013000345

Medical Identifiers

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

Identifier	Type	State	Issuer
1013658913	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	0001334339 (Virginia)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	0024184875 (Virginia)	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. Amy Leigh Clark allows following entities to bill medicare on her behalf.

Entity Name	Atlantic Anesthesia, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720181514 PECOS PAC ID: 4587562152 Enrollment ID: O20031222000273

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. Amy Leigh 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
Amy Leigh Clark, 205 Colwell Ct, Weirton, WV 26062-5020 Ph: (304) 374-4188	Amy Leigh Clark, 600 Gresham Dr, Norfolk, VA 23507-1904 Ph: (757) 388-3000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Norfolk, VA

Deborah K Midgett, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 150 Kingsley Ln, Norfolk, VA 23505 Phone: 757-889-5109
Louis C Devoles, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 150 Kingsley Ln, Norfolk, VA 23505 Phone: 757-889-5109
Steven L Cantarutti, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 600 Gresham Dr, Norfolk, VA 23507 Phone: 757-388-3000
John G Tyler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 150 Kingsley Ln, Norfolk, VA 23505 Phone: 757-889-5109
Teresa Cousins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr, Norfolk, VA 23507 Phone: 757-668-3871
Jennifer D Mcclain, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 150 Kingsley Ln, Norfolk, VA 23505 Phone: 757-889-5109
Allen Mesick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr, Norfolk, VA 23507 Phone: 757-668-3871

Amy Leigh Clark, - Medicare Nurse Anesthetist, Certified Registered in Norfolk, VA