Lisa Marie Clark, CAA - Medicare Anesthesiology Assistant in Cleveland, OH

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Lisa Marie Clark, CAA is a medicare enrolled "Anesthesiologist Assistant" in Cleveland, Ohio. She graduated from nursing school in 2003 and has 22 years of diverse experience with area of expertise as Anesthesiology Assistant. She is a member of the group practice Indiana University Health Care Associates Inc and her current practice location is 11100 Euclid Ave, Cleveland, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 844-5583.

Lisa Marie Clark is licensed to practice in Ohio (license number 67000102) 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 1215998927.

Contact Information

Lisa Marie Clark, CAA
11100 Euclid Ave,
Cleveland, OH 44106-1716
(216) 844-5583
Not Available

Map and Direction




Provider's Profile

Full NameLisa Marie Clark
GenderFemale
SpecialityAnesthesiology Assistant
Experience22 Years
Location11100 Euclid Ave, Cleveland, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lisa Marie Clark graduated from nursing school in 2003
  NPI Data:
  • NPI Number: 1215998927
  • Provider Enumeration Date: 03/31/2006
  • Last Update Date: 11/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6002709243
  • Enrollment ID: I20190918000703

Medical Identifiers

Medical identifiers for Lisa Marie Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215998927NPI-NPPES
000001295036OtherINANTHEM PTAN
1215998927MedicaidNC
1215998927OtherNCTRICARE
185M9OtherNCBCBS
1102450646OtherINANTHEM PTAN
377459OtherOHANTHEM BCBS
2438348MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant 75000044A (Indiana)Secondary
367H00000XAnesthesiologist Assistant 1000-00543 (North Carolina)Secondary
367H00000XAnesthesiologist Assistant 67000102 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Indiana University Health North HospitalCarmel, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Indiana University Health Care Associates Inc5799755864914

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. Lisa Marie Clark allows following entities to bill medicare on her behalf.
Entity NameIu Anesthesiology Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285684407
PECOS PAC ID: 5395730303
Enrollment ID: O20040419001228
Entity NameIndiana University Health Care Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902032832
PECOS PAC ID: 5799755864
Enrollment ID: O20040727000955
Entity NameIu Health Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326893777
PECOS PAC ID: 9638617913
Enrollment ID: O20240817000533

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. Lisa Marie 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 AddressPractice Location Address
Lisa Marie Clark, CAA
11100 Euclid Ave,
Cleveland, OH 44106-1716

Ph: (216) 844-5583		Lisa Marie Clark, CAA
11100 Euclid Ave,
Cleveland, OH 44106-1716

Ph: (216) 844-5583

Reviews and Comments


Anesthesiologist Assistant Nurses in Cleveland, OH

Shannon Kelly, AA-C
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Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109
Phone: 216-778-7800    
Cailey Tingler,
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Practice Location: 11100 Euclid Ave, Cleveland, OH 44106
Phone: 216-844-1000    
Brian Michael Wheatley,
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Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109
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Nicole M Moses, CAA
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Medicare: Accepting Medicare Assignments
Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109
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Michael Marcotte, CAA
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Medicare: Accepting Medicare Assignments
Practice Location: 2500 Metrohealth Dr, Cleveland, OH 44109
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Thomas Bruno, AA
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Medicare: Not Enrolled in Medicare
Practice Location: 11100 Euclid Ave, Cleveland, OH 44106
Phone: 216-844-7330    
Gregory G Kychun, AA
Anesthesiologist Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 11100 Euclid Ave, Cleveland, OH 44106
Phone: 216-844-7330    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.