Micah Shea Clark, in Oak Ridge, TN - Medicare Certified Registered Nurse Anesthetist (crna)

Micah Shea Clark, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Oak Ridge, Tennessee. She graduated from nursing school in 2006 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 Mmc Anesthesia Group, Pc and her current practice location is 990 Oak Ridge Tpke, Oak Ridge, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 858-6303.

Micah Shea Clark is licensed to practice in Tennessee (license number 075331) 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 1205902236.

Contact Information

	Micah Shea Clark,
	990 Oak Ridge Tpke, Oak Ridge, TN 37830-6976
	(931) 858-6303
	(931) 858-6305

Map and Direction

Provider's Profile

Full Name	Micah Shea Clark
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	18 Years
Location	990 Oak Ridge Tpke, Oak Ridge, 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.

Medical Education and Training:

Micah Shea Clark graduated from nursing school in 2006

NPI Data:

NPI Number: 1205902236
Provider Enumeration Date: 11/28/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9537265673
Enrollment ID: I20070505000148

Medical Identifiers

Medical identifiers for Micah Shea Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205902236	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	075331 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Methodist Medical Center Of Oak Ridge	Oak ridge, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mmc Anesthesia Group, Pc	6901795830	138

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. Micah Shea Clark allows following entities to bill medicare on her behalf.

Entity Name	Mmc Anesthesia Group, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639148117 PECOS PAC ID: 6901795830 Enrollment ID: O20040310001466

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. Micah Shea 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
Micah Shea Clark, Po Box 5059, Oak Ridge, TN 37831-5059 Ph: (770) 237-1089	Micah Shea Clark, 990 Oak Ridge Tpke, Oak Ridge, TN 37830-6976 Ph: (931) 858-6303

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Oak Ridge, TN

Harber Ingle, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 990 Oak Ridge Tpke, Oak Ridge, TN 37830 Phone: 800-611-6713
Kenneth L Boswell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 990 Oak Ridge Tpke, Oak Ridge, TN 37830 Phone: 865-481-1112 Fax: 770-237-1124
Lacey King, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 990 Oak Ridge Tpke, Oak Ridge, TN 37830 Phone: 865-835-3560
Doris Lewis, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 990 Oak Ridge Tpke, Anesthesia Dept, Oak Ridge, TN 37830 Phone: 865-481-1112 Fax: 770-237-1124
Roger B Lee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 990 Oak Ridge Tpke, Anesthesia Dept, Oak Ridge, TN 37830 Phone: 800-611-6713 Fax: 770-237-1124
Christina Bonner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 990 Oak Ridge Tpke, Oak Ridge, TN 37830 Phone: 865-481-1112 Fax: 770-237-1124

Micah Shea Clark, - Medicare Certified Registered Nurse Anesthetist (crna) in Oak Ridge, TN