Mrs Donna Marie Clark-riddle, CRNA in Salisbury, NC - Medicare Certified Registered Nurse Anesthetist (crna)

Mrs Donna Marie Clark-riddle, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Salisbury, North Carolina. She graduated from nursing school in 1997 and has 27 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Onslow Memorial Hospital Inc and her current practice location is 612 Mocksville Ave, Salisbury, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 210-5661.

Mrs Donna Marie Clark-riddle is licensed to practice in North Carolina (license number 48591) 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 1629000658.

Contact Information

	Mrs Donna Marie Clark-riddle, CRNA
	612 Mocksville Ave, Salisbury, NC 28144-2732
	(704) 210-5661
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Donna Marie Clark-riddle
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	27 Years
Location	612 Mocksville Ave, Salisbury, North Carolina
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:

Mrs Donna Marie Clark-riddle graduated from nursing school in 1997

NPI Data:

NPI Number: 1629000658
Provider Enumeration Date: 07/07/2006
Last Update Date: 10/27/2020

Medicare PECOS Information:

PECOS PAC ID: 2961466495
Enrollment ID: I20041115001129

Medical Identifiers

Medical identifiers for Mrs Donna Marie Clark-riddle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629000658	NPI	-	NPPES
430059241	Other	NC	RR MEDICARE
8051337	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	48591 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Onslow Memorial Hospital	Jacksonville, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Onslow Memorial Hospital Inc	1456252899	50

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. Mrs Donna Marie Clark-riddle allows following entities to bill medicare on her behalf.

Entity Name	Onslow Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689855900 PECOS PAC ID: 1456252899 Enrollment ID: O20041221000112

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. Mrs Donna Marie Clark-riddle 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
Mrs Donna Marie Clark-riddle, CRNA 1635 Waterford Pointe Rd, Lexington, NC 27292-6566 Ph: (336) 798-0610	Mrs Donna Marie Clark-riddle, CRNA 612 Mocksville Ave, Salisbury, NC 28144-2732 Ph: (704) 210-5661

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Salisbury, NC

Mr. Edward Blaine Bostian, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-6965
Mrs. Kimberly Jo Alexander, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-5661 Fax: 704-210-5660
Mrs. Beaulisa Dawn Metcalf, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-5661
Mrs. Patricia Floyd Burke, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-5661 Fax: 704-210-5660
Clement Joseph Markarian, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1601 Brenner Ave, Salisbury, NC 28144 Phone: 704-638-7000
Mrs. Nancy Marinette Rierson, MSN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-5000
Ms. Susan Lynn Kutz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 612 Mocksville Ave, Salisbury, NC 28144 Phone: 704-210-5661 Fax: 704-210-5660

Mrs Donna Marie Clark-riddle, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Salisbury, NC