Benjamin Jacob Clark, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Elkhart, IN

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Benjamin Jacob Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Elkhart, Indiana. He went to Albany Medical College Of Union University and graduated in 2010 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Apex Spine Institute and his current practice location is 600 East Blvd, Elkhart, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 523-3193.

Benjamin Jacob Clark is licensed to practice in Indiana (license number 28193318A) 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 1407150055.

Contact Information

Benjamin Jacob Clark, CRNA
600 East Blvd,
Elkhart, IN 46514-2483
(574) 523-3193
Not Available

Map and Direction




Provider's Profile

Full NameBenjamin Jacob Clark
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience16 Years
Location600 East Blvd, Elkhart, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Benjamin Jacob Clark attended and graduated from Albany Medical College Of Union University in 2010
  NPI Data:
  • NPI Number: 1407150055
  • Provider Enumeration Date: 12/22/2010
  • Last Update Date: 12/22/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 4688858285
  • Enrollment ID: I20181217002203

Medical Identifiers

Medical identifiers for Benjamin Jacob Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407150055NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 28193318A (Indiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Apex Spine Institute377997912510

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. Benjamin Jacob Clark allows following entities to bill medicare on his behalf.
Entity NamePremier Anesthesia of Richland a Division of Premier Anesthesia, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013940253
PECOS PAC ID: 4880699172
Enrollment ID: O20060920000047

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. Benjamin Jacob 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 AddressPractice Location Address
Benjamin Jacob Clark, CRNA
14660 Carrigan Ct,
Granger, IN 46530-4222

Ph: (574) 523-3193		Benjamin Jacob Clark, CRNA
600 East Blvd,
Elkhart, IN 46514-2483

Ph: (574) 523-3193

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Elkhart, IN

Mark Mcpherson, RN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 600 East Blvd, Elkhart, IN 46514
Phone: 574-523-3193    
Ms. Barbara Ann Doherty, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1004 Parkway Ave, Suite B, Elkhart, IN 46516
Phone: 574-522-9922    Fax: 574-522-9926
Lindsay Vasil, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1513 E Jackson Blvd, Elkhart, IN 46516
Phone: 574-523-3193    
Denise Christine Brown, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 600 East Blvd, Elkhart, IN 46514
Phone: 574-523-3193    Fax: 574-523-3463
Patty Jean Garlick, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 3080 Windsor Ct, Ste B, Elkhart, IN 46514
Phone: 574-266-7817    
Sara L Mcnally, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 500 N Nappanee St, Ste 11-b, Elkhart, IN 46514
Phone: 574-522-9922    Fax: 574-522-9926
Breann Marie Kutzer Mcmanus, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 500 N Nappanee St, Suite 11-b, Elkhart, IN 46514
Phone: 574-522-9922    Fax: 574-522-9926

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.