| Mrs Adrienne Clarke, CRNA | |
|
1300 Roanoke Ave, Riverhead, NY 11901-2058 | |
| (631) 766-3437 | |
| Not Available |
| Full Name | Mrs Adrienne Clarke |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 15 Years |
| Location | 1300 Roanoke Ave, Riverhead, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821611096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 89488 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Charles Hospital | Port jefferson, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| New York University | 1355232422 | 5027 |
| Suffolk Anesthesiology Associates Pc | 6204725740 | 70 |
| Entity Name | Long Island Anesthesia Physicians Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952387276 PECOS PAC ID: 7113825381 Enrollment ID: O20040106000103 |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851456701 PECOS PAC ID: 1355232422 Enrollment ID: O20040329001569 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Adrienne Clarke, CRNA 55 Atlantic Ave, East Moriches, NY 11940-1329 Ph: (631) 766-3437 | Mrs Adrienne Clarke, CRNA 1300 Roanoke Ave, Riverhead, NY 11901-2058 Ph: (631) 766-3437 |
John J Fazio, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Heroes Way, Riverhead, NY 11901 Phone: 631-548-6000 | |
Beth Ann Sawler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1300 Roanoke Ave, Riverhead, NY 11901 Phone: 631-548-6000 |