Paula Ann Clark, CRNA in Harbor City, CA - Medicare Certified Registered Nurse Anesthetist (crna)

Paula Ann Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Harbor City, California. She graduated from nursing school in 2007 and has 19 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Palmdale Anesthesia, Inc, Digestive Care Consultants and her current practice location is 25825 Vermont Ave, Harbor City, California. You can reach out to her office (for appointments etc.) via phone at (310) 920-9459.

Paula Ann Clark is licensed to practice in California (license number 3548) 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 1215110580.

Contact Information

	Paula Ann Clark, CRNA
	25825 Vermont Ave, Harbor City, CA 90710-3518
	(310) 920-9459
	Not Available

Map and Direction

Provider's Profile

Full Name	Paula Ann Clark
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	19 Years
Location	25825 Vermont Ave, Harbor City, California
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:

Paula Ann Clark graduated from nursing school in 2007

NPI Data:

NPI Number: 1215110580
Provider Enumeration Date: 12/10/2007
Last Update Date: 09/26/2024

Medicare PECOS Information:

PECOS PAC ID: 8921155763
Enrollment ID: I20090413000374

Medical Identifiers

Medical identifiers for Paula Ann Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215110580	NPI	-	NPPES
1261768	Other		CAQH
I9551971	Other		AETNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	556632 (California)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	3548 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Palmdale Regional Medical Center	Palmdale, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Palmdale Anesthesia, Inc	4385082734	12
Digestive Care Consultants	6608867304	13

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. Paula Ann Clark allows following entities to bill medicare on her behalf.

Entity Name	Digestive Care Consultants
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720078892 PECOS PAC ID: 6608867304 Enrollment ID: O20040520001630

Entity Name	Monterey Anesthesia Professionals
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073935250 PECOS PAC ID: 6002047164 Enrollment ID: O20140402002486

Entity Name	Landmark Anesthesia Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770035024 PECOS PAC ID: 5698055804 Enrollment ID: O20161206000144

Entity Name	Palmdale Anesthesia, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205698115 PECOS PAC ID: 4385082734 Enrollment ID: O20240403003660

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. Paula Ann 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
Paula Ann Clark, CRNA 5130 E Burnett St, Long Beach, CA 90815-1905 Ph: () -	Paula Ann Clark, CRNA 25825 Vermont Ave, Harbor City, CA 90710-3518 Ph: (310) 920-9459

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Harbor City, CA

Tina L Holt, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111
Loreto Albaran, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111
Mr. Scott Mathews, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-517-2585
Melissa Roupoli, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 800-780-1230
Michelle A Navarrette, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111
Angela Burney, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111
Mr. Jon David Beserra Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111

Paula Ann Clark, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Harbor City, CA