Brian Kelly Clark, CRNA - Medicare Nurse Anesthetist, Certified Registered in Hampton, VA

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Brian Kelly Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Hampton, Virginia. His current practice location is 501 Medical Dr, Hampton, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 295-9360.

Brian Kelly Clark is licensed to practice in Virginia (license number 0024165065) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1821059403.

Contact Information

Brian Kelly Clark, CRNA
501 Medical Dr,
Hampton, VA 23666-6080
(703) 295-9360
(703) 295-9369

Map and Direction




Provider's Profile

Full NameBrian Kelly Clark
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location501 Medical Dr, Hampton, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821059403
  • Provider Enumeration Date: 03/31/2006
  • Last Update Date: 03/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1658360441
  • Enrollment ID: I20120515000497

Medical Identifiers

Medical identifiers for Brian Kelly Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821059403NPI-NPPES
010170699MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 0024165065 (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. Brian Kelly Clark allows following entities to bill medicare on his behalf.
Entity NameGuthrie Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962451153
PECOS PAC ID: 6002728656
Enrollment ID: O20040301000571
Entity NameNorth American Partners In Anesthesia, Pennsylvania , Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639137854
PECOS PAC ID: 7517960834
Enrollment ID: O20060807000040
Entity NameBethlehem Endoscopy Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467691014
PECOS PAC ID: 6608862404
Enrollment ID: O20090708000349
Entity NameHazleton Anesthesia Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073841698
PECOS PAC ID: 2365584141
Enrollment ID: O20100115000709
Entity NameCapital Anesthesia Solutions Of Philadelphia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407402365
PECOS PAC ID: 5597197046
Enrollment ID: O20191121001321

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. Brian Kelly 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
Brian Kelly Clark, CRNA
Po Box 37090,
Baltimore, MD 21297-3090

Ph: (703) 295-9360		Brian Kelly Clark, CRNA
501 Medical Dr,
Hampton, VA 23666-6080

Ph: (703) 295-9360

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Hampton, VA

David Chester Vonrump, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 3000 Coliseum Dr, Hampton, VA 23666
Phone: 757-736-1000    
Mrs. Laura G Smith, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3000 Coliseum Dr, Hampton, VA 23666
Phone: 757-736-1000    
Robert Ashford Johnson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3000 Coliseum Dr, Hampton, VA 23666
Phone: 757-736-3498    
Yvette Ansumana,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 77 Nealy Ave, Hampton, VA 23665
Phone: 757-225-6449    
Joseph Anthony Yungbluth, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 113 Signature Way, Hampton, VA 23666
Phone: 757-723-3549    
Dr. Shannon Nunnery, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 77 Nealy Ave, Hampton, VA 23665
Phone: 425-345-0787    
Barbara Hite, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 335 Green Spring Ct, Hampton, VA 23669
Phone: 757-851-8169    

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.