Mrs Julie E Clark, CRNA in North Kansas City, MO - Medicare Nurse Anesthetist, Certified Registered

Mrs Julie E Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in North Kansas City, Missouri. Her current practice location is 2800 Clay Edwards Dr, North Kansas City, Missouri. You can reach out to her office (for appointments etc.) via phone at (816) 691-1765.

Mrs Julie E Clark is licensed to practice in Missouri (license number 110806) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1386669612.

Contact Information

	Mrs Julie E Clark, CRNA
	2800 Clay Edwards Dr, North Kansas City, MO 64116-3220
	(816) 691-1765
	(816) 471-1247

Map and Direction

Provider's Profile

Full Name	Mrs Julie E Clark
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	2800 Clay Edwards Dr, North Kansas City, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386669612
Provider Enumeration Date: 07/13/2006
Last Update Date: 03/21/2025

Medicare PECOS Information:

PECOS PAC ID: 8628042421
Enrollment ID: I20040825001220

Medical Identifiers

Medical identifiers for Mrs Julie E Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386669612	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	110806 (Missouri)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	110806 (Missouri)	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. Mrs Julie E Clark allows following entities to bill medicare on her behalf.

Entity Name	Meritas Health Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801875091 PECOS PAC ID: 6305748153 Enrollment ID: O20040122001058

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 Julie E 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
Mrs Julie E Clark, CRNA 1900 Swift Ave, Suite 203, North Kansas City, MO 64116-3445 Ph: (816) 221-5050	Mrs Julie E Clark, CRNA 2800 Clay Edwards Dr, North Kansas City, MO 64116-3220 Ph: (816) 691-1765

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in North Kansas City, MO

Alexis Mckenzie Dyer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2700 Clay Edwards Dr Ste 240, North Kansas City, MO 64116 Phone: 816-691-2021 Fax: 816-346-7690
Mr. Todd J Zellmer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2800 Clay Edwards Drive, North Kansas City, MO 64116 Phone: 816-221-5050 Fax: 816-471-1247
Ms. Jeanne M Cooper, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2800 Clay Edwards Dr, North Kansas City, MO 64116 Phone: 816-691-2000
Steven R Mcclure, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2800 Clay Edwards Dr, North Kansas City, MO 64116 Phone: 816-221-5050 Fax: 816-471-1247
Mrs. Kimberly A. Moore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2800 Clay Edwards Dr, North Kansas City, MO 64116 Phone: 816-221-5050 Fax: 816-471-1247
Jeffrey Bradford Enriquez Casperson, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2700 Clay Edwards Dr Ste 240, North Kansas City, MO 64116 Phone: 816-691-2021 Fax: 816-346-7690
Samantha Strobbe, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2700 Clay Edwards Dr Ste 240, North Kansas City, MO 64116 Phone: 816-691-2021 Fax: 816-346-7690

Mrs Julie E Clark, CRNA - Medicare Nurse Anesthetist, Certified Registered in North Kansas City, MO