Clayton Michael Clark, in Durham, NC - Medicare Certified Registered Nurse Anesthetist (crna)

Clayton Michael Clark, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Durham, North Carolina. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Emergenchealth Pllc and his current practice location is 307 Trent Dr, Durham, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 684-3786.

Clayton Michael Clark is licensed to practice in Texas (license number AP143683) 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 1013575844.

Contact Information

	Clayton Michael Clark,
	307 Trent Dr, Durham, NC 27710-3038
	(919) 684-3786
	Not Available

Map and Direction

Provider's Profile

Full Name	Clayton Michael Clark
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	5 Years
Location	307 Trent Dr, Durham, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Clayton Michael Clark graduated from nursing school in 2019

NPI Data:

NPI Number: 1013575844
Provider Enumeration Date: 06/05/2019
Last Update Date: 11/19/2019

Medicare PECOS Information:

PECOS PAC ID: 2163854308
Enrollment ID: I20191108002867

Medical Identifiers

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

Identifier	Type	State	Issuer
1013575844	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	275012 (North Carolina)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	AP143683 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kell West Regional Hospital	Wichita falls, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Emergenchealth Pllc	1355606641	585

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. Clayton Michael Clark allows following entities to bill medicare on his behalf.

Entity Name	Youngs Professional Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20120104000614

Entity Name	Northstar Anesthesia Ii Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477066405 PECOS PAC ID: 2365701737 Enrollment ID: O20180110000102

Entity Name	Emergenchealth Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439

Entity Name	Northstar Anesthesia Iii Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356968952 PECOS PAC ID: 0042630501 Enrollment ID: O20201022000080

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. Clayton Michael 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
Clayton Michael Clark, 1428 Ida St Apt K, Durham, NC 27705-3331 Ph: () -	Clayton Michael Clark, 307 Trent Dr, Durham, NC 27710-3038 Ph: (919) 684-3786

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Durham, NC

Christine A Eaton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Erwin Rd, Durham, NC 27710 Phone: 919-684-3595
Derrick Cephano Glymph, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2301 Erwin Rd, Durham, NC 27705 Phone: 919-684-8111
Cindy Black, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2100 Erwin Rd, Durham, NC 27710 Phone: 919-620-4467
Donald Moede, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2100 Erwin Rd, Durham, NC 27710 Phone: 919-620-4467
Hannah H Bost, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 508 Fulton St, Durham, NC 27705 Phone: 919-286-0411
Jacob Hollenbeck, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3643 N Roxboro St, Durham, NC 27704 Phone: 919-470-4000
Sarah Adcock, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2301 Erwin Rd, Durham, NC 27705 Phone: 919-668-0289

Clayton Michael Clark, - Medicare Certified Registered Nurse Anesthetist (crna) in Durham, NC