David Clark, - Medicare Certified Registered Nurse Anesthetist (crna) in Louisville, KY

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David Clark, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Louisville, Kentucky. He graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Ams Anesthetist Services Llc, Capital Anesthesia Solutions Of Florida Ii, Llc and his current practice location is 4000 Kresge Way, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 897-8100.

David Clark is licensed to practice in Kentucky (license number 134602) 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 1699361071.

Contact Information

David Clark,
4000 Kresge Way,
Louisville, KY 40207-4605
(502) 897-8100
Not Available

Map and Direction




Provider's Profile

Full NameDavid Clark
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience6 Years
Location4000 Kresge Way, Louisville, Kentucky
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:
  • David Clark graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1699361071
  • Provider Enumeration Date: 12/18/2020
  • Last Update Date: 03/26/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4688087844
  • Enrollment ID: I20250213000656

Medical Identifiers

Medical identifiers for David Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699361071NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 134602 (Kentucky)Primary
163W00000XRegistered Nurse 1-148235 (Alabama)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sacred Heart Hospital On The Emerald CoastMiramar beach, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ams Anesthetist Services Llc8325298458149
Capital Anesthesia Solutions Of Florida Ii, Llc7911323720327

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. David Clark allows following entities to bill medicare on his behalf.
Entity NameAms Anesthetist Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770834426
PECOS PAC ID: 8325298458
Enrollment ID: O20121025000224
Entity NameCapital Anesthesia Solutions of Florida II, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891318481
PECOS PAC ID: 7911323720
Enrollment ID: O20200811002165

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. David 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
David Clark,
7741 Upton Oxmoor Ln Apt 101,
Louisville, KY 40222-4453

Ph: (334) 596-1336		David Clark,
4000 Kresge Way,
Louisville, KY 40207-4605

Ph: (502) 897-8100

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Louisville, KY

Benjamin Martin Choi Sampedro, C.R.N.A.
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Ann Adams Fraser, CRNA
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Teresa O. Kraus, CRNA
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Practice Location: 4000 Kresge Way, Louisville, KY 40207
Phone: 502-473-2132    Fax: 502-459-0923
Anita Rose Feathers, CRNA
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Practice Location: 4000 Kresge Way, Louisville, KY 40207
Phone: 502-473-2132    Fax: 502-459-0923
Marian Antonette Cochiaosue-avery,
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Practice Location: 530 S Jackson St, Louisville, KY 40202
Phone: 502-852-1735    Fax: 502-852-6056
Ashley Hull, CRNA
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Medicare: Accepting Medicare Assignments
Practice Location: 200 E Chestnut St, Louisville, KY 40202
Phone: 502-629-8000    

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.