Kathryn M Clark, CRNA in Durham, NC - Medicare Certified Registered Nurse Anesthetist (crna)

Kathryn M Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Durham, North Carolina. She graduated from nursing school in 2007 and has 18 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Duke University Health System, Inc and her current practice location is 3643 N Roxboro St, Durham, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 470-6186.

Kathryn M Clark is licensed to practice in North Carolina (license number 1689) 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 1558551663.

Contact Information

	Kathryn M Clark, CRNA
	3643 N Roxboro St, Durham, NC 27704-2702
	(919) 470-6186
	Not Available

Map and Direction

Provider's Profile

Full Name	Kathryn M Clark
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	18 Years
Location	3643 N Roxboro St, Durham, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kathryn M Clark graduated from nursing school in 2007

NPI Data:

NPI Number: 1558551663
Provider Enumeration Date: 07/26/2007
Last Update Date: 08/09/2021

Medicare PECOS Information:

PECOS PAC ID: 5193811909
Enrollment ID: I20071009000854

Medical Identifiers

Medical identifiers for Kathryn M Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558551663	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN 128359 (North Carolina)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	AANA 077459 (North Carolina)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	1689 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Duke University Hospital	Durham, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Duke University Health System, Inc	2567372345	906

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. Kathryn M Clark allows following entities to bill medicare on her behalf.

Entity Name	Duke University Health System, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558392977 PECOS PAC ID: 2567372345 Enrollment ID: O20040625000811

Entity Name	East Carolina Anesthesia Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205996519 PECOS PAC ID: 5092720813 Enrollment ID: O20060215000791

Entity Name	Medstream Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001209

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. Kathryn M 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
Kathryn M Clark, CRNA Po Box 15609, Durham, NC 27704-0609 Ph: (919) 384-0700	Kathryn M Clark, CRNA 3643 N Roxboro St, Durham, NC 27704-2702 Ph: (919) 470-6186

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Durham, NC

Cara Nicole Adams, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Duke University, Durham, NC 27710 Phone: 919-684-4248
Christine A Eaton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Erwin Rd, Durham, NC 27710 Phone: 919-684-3595
Derrick Cephano Glymph, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2301 Erwin Rd, Durham, NC 27705 Phone: 919-684-8111
Cindy Black, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2100 Erwin Rd, Durham, NC 27710 Phone: 919-620-4467
Donald Moede, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Erwin Rd, Durham, NC 27710 Phone: 919-620-4467
Hannah H Bost, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 508 Fulton St, Durham, NC 27705 Phone: 919-286-0411
Jacob Hollenbeck, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3643 N Roxboro St, Durham, NC 27704 Phone: 919-470-4000

Kathryn M Clark, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Durham, NC