Miss Kay Rose Clark, CRNA in Walnut Creek, CA - Medicare Certified Registered Nurse Anesthetist (crna)

Miss Kay Rose Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Walnut Creek, California. She graduated from nursing school in 1992 and has 34 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Empire Anesthesia Inc and her current practice location is 1465 South Main Street, Walnut Creek, California. You can reach out to her office (for appointments etc.) via phone at (925) 295-4465.

Miss Kay Rose Clark is licensed to practice in California (license number 1957) 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 1538214218.

Contact Information

	Miss Kay Rose Clark, CRNA
	1465 South Main Street, Walnut Creek, CA 94596
	(925) 295-4465
	Not Available

Map and Direction

Provider's Profile

Full Name	Miss Kay Rose Clark
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	34 Years
Location	1465 South Main Street, Walnut Creek, California
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:

Miss Kay Rose Clark graduated from nursing school in 1992

NPI Data:

NPI Number: 1538214218
Provider Enumeration Date: 01/24/2007
Last Update Date: 05/12/2016

Medicare PECOS Information:

PECOS PAC ID: 4880677764
Enrollment ID: I20040610001738

Medical Identifiers

Medical identifiers for Miss Kay Rose Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538214218	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	1957 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Empire Anesthesia Inc	8224197108	19

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. Miss Kay Rose Clark allows following entities to bill medicare on her behalf.

Entity Name	Alameda Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740332931 PECOS PAC ID: 3779494521 Enrollment ID: O20031110000764

Entity Name	Empire Anesthesia Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174792261 PECOS PAC ID: 8224197108 Enrollment ID: O20081106000675

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. Miss Kay Rose 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
Miss Kay Rose Clark, CRNA 1425 S Main St, Walnut Creek, CA 94596-5318 Ph: (925) 295-4000	Miss Kay Rose Clark, CRNA 1465 South Main Street, Walnut Creek, CA 94596 Ph: (925) 295-4465

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Walnut Creek, CA

Michelle Cable Vu, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000
Mr. Brett James Coleman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 510-295-4000
Mrs. Connie M Tracy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4665
Rosemary W Kanake, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1470 Creekside Dr Apt 3, Walnut Creek, CA 94596 Phone: 314-461-1058
Amy Elizabeth Bode, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4739
Isabelita Gecale Puruganan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4665 Fax: 925-295-6116
Nancy Leigh Welling, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4665

Miss Kay Rose Clark, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Walnut Creek, CA