Kristen Marie Clark, CRNA in Detroit, MI - Medicare Certified Registered Nurse Anesthetist (crna)

Kristen Marie Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Detroit, Michigan. She graduated from nursing school in 2004 and has 22 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Asa Staffing Inc, Northstar Anesthesia Of Michigan Pllc and her current practice location is 3990 John R St, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (952) 442-9770.

Kristen Marie Clark is licensed to practice in Michigan (license number 4704217214) 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 1598863912.

Contact Information

	Kristen Marie Clark, CRNA
	3990 John R St, Detroit, MI 48201-2018
	(952) 442-9770
	Not Available

Map and Direction

Provider's Profile

Full Name	Kristen Marie Clark
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	22 Years
Location	3990 John R St, Detroit, Michigan
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:

Kristen Marie Clark graduated from nursing school in 2004

NPI Data:

NPI Number: 1598863912
Provider Enumeration Date: 09/20/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0648365718
Enrollment ID: I20071004000128

Medical Identifiers

Medical identifiers for Kristen Marie Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598863912	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4704217214 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Harper University Hospital	Detroit, MI	Hospital
Karmanos Cancer Center	Detroit, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Asa Staffing Inc	3971898644	113
Northstar Anesthesia Of Michigan Pllc	9638481591	172

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. Kristen Marie Clark allows following entities to bill medicare on her behalf.

Entity Name	Botsford General Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235179664 PECOS PAC ID: 2668385238 Enrollment ID: O20031113000500

Entity Name	Northstar Anesthesia Of Michigan Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871986372 PECOS PAC ID: 9638481591 Enrollment ID: O20150707000070

Entity Name	University Pain Clinic Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598138661 PECOS PAC ID: 3870894892 Enrollment ID: O20151216002653

Entity Name	Asa Staffing Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114378981 PECOS PAC ID: 3971898644 Enrollment ID: O20160818002713

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. Kristen Marie 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
Kristen Marie Clark, CRNA Po Box 67000, Dept 203401, Detroit, MI 48267-2034 Ph: (952) 442-9770	Kristen Marie Clark, CRNA 3990 John R St, Detroit, MI 48201-2018 Ph: (952) 442-9770

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Detroit, MI

Kimberly Dawn Harris, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 313-745-8521
Caroline L Talbert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 313-745-7600 Fax: 952-442-3620
Kyle Krupa, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600
Lisa Zetuna, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600
Dr. Timothy Turner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-8078
Ms. Laura Lynn Rivera, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600
Elizabeth Anne Ranella, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4201 Saint Antoine St, Detroit, MI 48201 Phone: 952-442-9770 Fax: 952-442-3630

Kristen Marie Clark, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Detroit, MI