Dennis Wayne Clark, CRNA in Lake Charles, LA - Medicare Nurse Anesthetist, Certified Registered

Dennis Wayne Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lake Charles, Louisiana. His current practice location is 1757 Imperial Blvd., Lake Charles, Louisiana. You can reach out to his office (for appointments etc.) via phone at (337) 310-2832.

Dennis Wayne Clark is licensed to practice in Alabama (license number 1-097193) 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 1710914486.

Contact Information

	Dennis Wayne Clark, CRNA
	1757 Imperial Blvd., Lake Charles, LA 70605
	(337) 310-2832
	Not Available

Map and Direction

Provider's Profile

Full Name	Dennis Wayne Clark
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1757 Imperial Blvd., Lake Charles, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710914486
Provider Enumeration Date: 06/27/2006
Last Update Date: 08/16/2010

Medicare PECOS Information:

PECOS PAC ID: 7315131349
Enrollment ID: I20101103000547

Medical Identifiers

Medical identifiers for Dennis Wayne Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710914486	NPI	-	NPPES
03429236	Medicaid	MS
51511198	Other	AL	BCBS
051511198	Medicaid	AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	1-097193 (Alabama)	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. Dennis Wayne Clark allows following entities to bill medicare on his behalf.

Entity Name	Abbeville General Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780616094 PECOS PAC ID: 5395641955 Enrollment ID: O20031212000345

Entity Name	Lake Charles Anesthesiology, Apmc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588674790 PECOS PAC ID: 6800867714 Enrollment ID: O20040804000651

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. Dennis Wayne 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
Dennis Wayne Clark, CRNA 13523 Barrett Parkway Drive, Suite 104, Ballwin, MO 63021-3802 Ph: (636) 936-6868	Dennis Wayne Clark, CRNA 1757 Imperial Blvd., Lake Charles, LA 70605 Ph: (337) 310-2832

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Lake Charles, LA

Mr. Leslie B Free, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4150 Nelson Road, A-4, Lake Charles, LA 70605 Phone: 337-478-2124 Fax: 337-477-7616
Mr. Michael Shelton Adams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Walters St, Lsu W O Moss Regional Medical Center, Lake Charles, LA 70607 Phone: 337-475-8333
Mr. Robert Geise Phillips, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4150 Nelson Rd, A4 Anesthesia Associates, Lake Charles, LA 70605 Phone: 337-474-6353 Fax: 337-477-7616
Jordan Daughenbaugh, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 W Gauthier Rd, Lake Charles, LA 70605 Phone: 337-480-7000
Mr. Randall Dale Biggs, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4150 Nelson Rd, A4 Anesthesia Associates, Lake Charles, LA 70605 Phone: 337-474-6353 Fax: 337-477-7616
Carl G Mallett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1128 Hidden Oak Ln, Lake Charles, LA 70605 Phone: 337-478-1085
Nathaniel J Dennis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 424 W Mcneese St, Suite L, Lake Charles, LA 70605 Phone: 337-478-0511 Fax: 337-478-5644

Dennis Wayne Clark, CRNA - Medicare Nurse Anesthetist, Certified Registered in Lake Charles, LA