Katherine Mary Clark, CRNA | |
8913 Town And Country Cir # 1013, Knoxville, TN 37923-4931 | |
(253) 861-0739 | |
Not Available |
Full Name | Katherine Mary Clark |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 8 Years |
Location | 8913 Town And Country Cir # 1013, Knoxville, Tennessee |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104364231 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 60722768 (Washington) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 29557 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tucson Medical Center | Tucson, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ias Arizona Pllc | 7517312648 | 145 |
Entity Name | Ias Arizona Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689359747 PECOS PAC ID: 7517312648 Enrollment ID: O20231010003129 |
Mailing Address | Practice Location Address |
---|---|
Katherine Mary Clark, CRNA 8913 Town And Country Cir # 1013, Knoxville, TN 37923-4931 Ph: (253) 861-0739 | Katherine Mary Clark, CRNA 8913 Town And Country Cir # 1013, Knoxville, TN 37923-4931 Ph: (253) 861-0739 |
Andrea Kathryn Kottmeier, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1311 Dowell Springs Blvd, Knoxville, TN 37909 Phone: 865-588-5121 | |
James Ryan Wallace, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Clinch Ave, Knoxville, TN 37916 Phone: 865-342-9098 | |
Matthew S Clayton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 410 N Cedar Bluff Rd, Suite 300, Knoxville, TN 37923 Phone: 865-342-9012 Fax: 865-691-0943 | |
Michelle L Palmer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916 Phone: 865-546-8040 Fax: 865-541-2787 | |
Elizabeth Stevens, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916 Phone: 865-546-8040 Fax: 865-541-2787 | |
Gregory William Hagopian, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916 Phone: 865-546-8040 Fax: 865-541-2787 | |
Wanda White, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916 Phone: 865-546-8040 Fax: 865-541-2787 |