| Leonard Lionel Clark, CRNA | |
|
1801 San Juan Dr, Sherman, TX 75092 | |
| (903) 892-3012 | |
| Not Available |
| Full Name | Leonard Lionel Clark |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 30 Years |
| Location | 1801 San Juan Dr, Sherman, Texas |
| 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 |
|---|---|---|---|
| 1285794768 | NPI | - | NPPES |
| 045542 | Other | AANA CERTIFICATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 78396 (Oklahoma) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 562123 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ut Health East Texas Tyler Regional Hospital | Tyler, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Iii Pa | 0042630501 | 347 |
| Entity Name | Northstar Anesthesia Iii Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356968952 PECOS PAC ID: 0042630501 Enrollment ID: O20201022000080 |
| Mailing Address | Practice Location Address |
|---|---|
| Leonard Lionel Clark, CRNA Po Box 840853, Dallas, TX 75284-0853 Ph: (972) 233-1999 | Leonard Lionel Clark, CRNA 1801 San Juan Dr, Sherman, TX 75092 Ph: (903) 892-3012 |
Dwight B Herman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 N Highland Ave, Sherman, TX 75092 Phone: 903-870-4494 | |
Larry Jewell, CRNA RRT Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 N Highland Ave, Sherman, TX 75092 Phone: 903-891-7000 Fax: 903-893-5334 | |
Ronald Swenson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 500 N Highland Ave, Sherman, TX 75092 Phone: 903-870-4494 | |
Meredith L. Waldo, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 500 N Highland Ave, Sherman, TX 75092 Phone: 903-891-7000 Fax: 903-893-5334 | |
David Ward Stange, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1303 N Travis St, Sherman, TX 75092 Phone: 903-892-3282 Fax: 903-813-1872 | |
Jean Marie Hunt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 N Highland Ave Ste 107, Sherman, TX 75092 Phone: 903-892-1898 Fax: 903-813-4811 |