Jennifer Alexandria Clark, - Medicare Certified Registered Nurse Anesthetist (crna) in San Rafael, CA

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Jennifer Alexandria Clark, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in San Rafael, California. She graduated from nursing school in 2010 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Anesthesia And Analgesia Medical Group Inc, Permanente Medical Group Inc and her current practice location is 99 Montecillo Rd, San Rafael, California. You can reach out to her office (for appointments etc.) via phone at (925) 229-7693.

Jennifer Alexandria Clark is licensed to practice in California (license number 086522) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023315231.

Contact Information

Jennifer Alexandria Clark,
99 Montecillo Rd,
San Rafael, CA 94903-3308
(925) 229-7693
Not Available

Map and Direction




Provider's Profile

Full NameJennifer Alexandria Clark
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience16 Years
Location99 Montecillo Rd, San Rafael, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jennifer Alexandria Clark graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1023315231
  • Provider Enumeration Date: 02/24/2011
  • Last Update Date: 01/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4981877917
  • Enrollment ID: I20111107000752

Medical Identifiers

Medical identifiers for Jennifer Alexandria Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023315231NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 086522 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kaiser Foundation Hospital-santa RosaSanta rosa, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Anesthesia And Analgesia Medical Group Inc115331611272
Permanente Medical Group Inc892191022510968

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. Jennifer Alexandria Clark allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710
Entity NameAnesthesia & Analgesia Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659320984
PECOS PAC ID: 1153316112
Enrollment ID: O20040419000685

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. Jennifer Alexandria 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
Jennifer Alexandria Clark,
20 Barneson Ave, #c,
San Mateo, CA 94402-2978

Ph: (310) 266-2796		Jennifer Alexandria Clark,
99 Montecillo Rd,
San Rafael, CA 94903-3308

Ph: (925) 229-7693

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in San Rafael, CA

Christina Ramirez,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 99 Montecillo Rd, San Rafael, CA 94903
Phone: 415-444-2000    
Katherine Sarasas,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 99 Montecillo Rd, San Rafael, CA 94903
Phone: 415-444-2879    

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.