Mark William Clark, RN, MSN in York, PA - Medicare Nurse Anesthetist, Certified Registered

Mark William Clark, RN, MSN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in York, Pennsylvania. His current practice location is 25 Monument Rd Ste 270, York, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 741-8250.

Mark William Clark is licensed to practice in Pennsylvania (license number RN576200) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1649516584.

Contact Information

	Mark William Clark, RN, MSN
	25 Monument Rd Ste 270, York, PA 17403-5073
	(717) 741-8250
	(717) 741-8289

Map and Direction

Provider's Profile

Full Name	Mark William Clark
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	25 Monument Rd Ste 270, York, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649516584
Provider Enumeration Date: 12/21/2012
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 3971874033
Enrollment ID: I20170808001173

Medical Identifiers

Medical identifiers for Mark William Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649516584	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R227805 (Maryland)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	RN576200 (Pennsylvania)	Primary

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. Mark William Clark allows following entities to bill medicare on his behalf.

Entity Name	First Colonies Anesthesia Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740218767 PECOS PAC ID: 8426039744 Enrollment ID: O20040525000119

Entity Name	Bel Air Sedation Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215254560 PECOS PAC ID: 7416142831 Enrollment ID: O20101111000423

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. Mark William 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
Mark William Clark, RN, MSN 3421 Concord Rd, York, PA 17402-9001 Ph: (717) 741-8250	Mark William Clark, RN, MSN 25 Monument Rd Ste 270, York, PA 17403-5073 Ph: (717) 741-8250

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in York, PA

Adrienne Chakot, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 S George St, York, PA 17403 Phone: 717-812-7687
Robert Merritt, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 25 Monument Rd Ste 270, York, PA 17403 Phone: 717-741-8250 Fax: 717-741-8289
James O Nell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 S George St, York, PA 17403 Phone: 717-812-7687
Allison Weston, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 S George St, York, PA 17403 Phone: 717-812-7687 Fax: 717-851-5250
Deborah L Aumiller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 S George St, York, PA 17403 Phone: 717-812-7687
Mr. Douglas Edward Kircher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1861 Powder Mill Rd, York, PA 17402 Phone: 717-718-2000 Fax: 717-718-3460
Linda K Zinkand, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1001 S George St, York, PA 17403 Phone: 717-851-2415 Fax: 717-851-5250

Mark William Clark, RN, MSN - Medicare Nurse Anesthetist, Certified Registered in York, PA