| Jeffrey Scott Clark, CRNA | |
|
1250 E Marshall St, Richmond, VA 23298-5023 | |
| (804) 828-2207 | |
| (804) 828-8300 |
| Full Name | Jeffrey Scott Clark |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 5 Years |
| Location | 1250 E Marshall St, Richmond, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811103138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0024185771 (Virginia) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 14744 (Tennessee) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henrico Doctors' Hospital | Richmond, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Anesthesiology Of Virginia Pc | 6800790023 | 514 |
| Entity Name | American Anesthesiology of Virginia PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417994872 PECOS PAC ID: 6800790023 Enrollment ID: O20080812000606 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Scott Clark, CRNA Po Box 780125, Philadelphia, PA 19178-0125 Ph: (804) 922-4844 | Jeffrey Scott Clark, CRNA 1250 E Marshall St, Richmond, VA 23298-5023 Ph: (804) 828-2207 |
Janine L Gibbons, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5855 Bremo Rd, Suite 100, Richmond, VA 23226 Phone: 804-288-6258 Fax: 804-282-9921 |
Elizabeth Holben, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3509 Kensington Ave Apt 3, Richmond, VA 23221 Phone: 614-477-3507 |
Karen L Hanes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1602 Skipwith Rd, Richmond, VA 23229 Phone: 804-289-4937 |
Lisa Broaddus Ziegler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5801 Bremo Rd, Richmond, VA 23226 Phone: 804-285-2011 |
Caleb Lesch, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5855 Bremo Rd, Suite 100, Richmond, VA 23226 Phone: 804-673-1038 |
Susan Coble, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1602 Skipwith Rd, Richmond, VA 23229 Phone: 804-289-4937 |
Michael R. Mercer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1250 E Marshall St, Dept. Of Anesthesiology/crna, Richmond, VA 23298 Phone: 804-628-6990 Fax: 804-628-6932 |