Mr Thomas Martin Clark, CRNA in Fort Belvoir, VA - Medicare Nurse Anesthetist, Certified Registered

Mr Thomas Martin Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Belvoir, Virginia. His current practice location is 9300 Dewitt Loop, Fort Belvoir, Virginia. You can reach out to his office (for appointments etc.) via phone at (571) 231-3224.

Mr Thomas Martin Clark is licensed to practice in New York (license number 725069) 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 1588237663.

Contact Information

	Mr Thomas Martin Clark, CRNA
	9300 Dewitt Loop, Fort Belvoir, VA 22060-5285
	(571) 231-3224
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Thomas Martin Clark
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	9300 Dewitt Loop, Fort Belvoir, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588237663
Provider Enumeration Date: 07/19/2021
Last Update Date: 02/01/2023

Medicare PECOS Information:

PECOS PAC ID: 0143679985
Enrollment ID: I20231206000207

Medical Identifiers

Medical identifiers for Mr Thomas Martin Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588237663	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	725069 (New York)	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. Mr Thomas Martin Clark allows following entities to bill medicare on his behalf.

Entity Name	Jefferson Anesthesiologist Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508818014 PECOS PAC ID: 0840289260 Enrollment ID: O20040512000314

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. Mr Thomas Martin 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
Mr Thomas Martin Clark, CRNA 807 Church St, Alexandria, VA 22314-4203 Ph: (516) 754-8855	Mr Thomas Martin Clark, CRNA 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 Ph: (571) 231-3224

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fort Belvoir, VA

Mrs. Constance Louise Jenkins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-2890
Mrs. Connie Jean Moore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9501 Farrell Rd, Fort Belvoir, VA 22060 Phone: 703-805-0004
Christopher Joseph Grey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-3224
Mr. Vincent Bernard Bogan, MSN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9501 Farrell Rd, Dewitt Army Community Hospital, Fort Belvoir, VA 22060 Phone: 703-805-0342 Fax: 703-805-0731
Jennifer Hughes, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 602-653-3578
David Alden, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-3224
Jacob Macgregor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9300 Dewit Loop, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 Phone: 571-231-4578

Mr Thomas Martin Clark, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fort Belvoir, VA