| Mr Casey Ryan Clark, CRNA | |
|
22234 Kennemer Ln, Athens, AL 35613-8162 | |
| (256) 206-2081 | |
| (256) 771-5972 |
| Full Name | Mr Casey Ryan Clark |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 20 Years |
| Location | 22234 Kennemer Ln, Athens, Alabama |
| 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 |
|---|---|---|---|
| 1174534085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1-104686 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Huntsville Hospital | Huntsville, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Huntsville Hospital Anesthesia | 7315990751 | 150 |
| Entity Name | Huntsville Hospital Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851321079 PECOS PAC ID: 7315990751 Enrollment ID: O20050225000538 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Casey Ryan Clark, CRNA 22234 Kennemer Ln, Athens, AL 35613-8162 Ph: (256) 206-2081 | Mr Casey Ryan Clark, CRNA 22234 Kennemer Ln, Athens, AL 35613-8162 Ph: (256) 206-2081 |
James G Boyd, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 W Market St, Athens, AL 35611 Phone: 256-233-9424 | |
Christopher Ryan Lonis, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 W Market St, Athens, AL 35611 Phone: 256-233-9292 | |
Edward Howell Bishop Iii, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 W Market St, Athens, AL 35611 Phone: 256-233-9292 | |
Dr. Jamia Moore, DNP, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 W Market St, Athens, AL 35611 Phone: 256-658-4284 | |
Caroline Fogleman Mikach, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 W Market St, Athens, AL 35611 Phone: 256-233-9292 | |
Dr. Arthur Lynn Womble, CRNA, PHD Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 W Market St, Athens, AL 35611 Phone: 256-233-9424 |