Nancy G Clark, CRNA - Medicare Nurse Anesthetist, Certified Registered in Gainesville, GA

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Nancy G Clark, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Gainesville, Georgia. Her current practice location is 743 Spring St Ne, Gainesville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 532-7179.

Nancy G Clark is licensed to practice in Georgia (license number RN038843) 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 1215983960.

Contact Information

Nancy G Clark, CRNA
743 Spring St Ne,
Gainesville, GA 30501-3715
(770) 532-7179
(770) 534-1312

Map and Direction




Provider's Profile

Full NameNancy G Clark
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location743 Spring St Ne, Gainesville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215983960
  • Provider Enumeration Date: 05/25/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7618985482
  • Enrollment ID: I20060405000404

Medical Identifiers

Medical identifiers for Nancy G Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215983960NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN038843 (Georgia)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. Nancy G Clark allows following entities to bill medicare on her behalf.
Entity NameAnesthesia Associates Of Gainesville, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457456485
PECOS PAC ID: 2769381771
Enrollment ID: O20040108000009
Entity NameAmbulatory Anesthesia Of North Georgia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497870562
PECOS PAC ID: 9931121332
Enrollment ID: O20051229000181

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. Nancy G 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
Nancy G Clark, CRNA
Po Box 1076,
Gainesville, GA 30503-1076

Ph: (770) 532-7179		Nancy G Clark, CRNA
743 Spring St Ne,
Gainesville, GA 30501-3715

Ph: (770) 532-7179

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Gainesville, GA

Darryl E Blalock, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 743 Spring St Ne, Gainesville, GA 30501
Phone: 770-532-7179    Fax: 770-534-1312
Jack Powell, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 743 Spring St Ne, Gainesville, GA 30501
Phone: 770-532-7179    Fax: 770-534-1312
Nicole Marie Hand, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 743 Spring St Ne, Gainesville, GA 30501
Phone: 770-532-7179    
Laura E Carmichael, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 743 Spring St Ne, Gainesville, GA 30501
Phone: 770-532-7179    Fax: 770-534-1312
Brandon Chase England, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 743 Spring St Ne, Gainesville, GA 30501
Phone: 770-532-7179    
Courtney C Larson, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 743 Spring St Ne, Gainesville, GA 30501
Phone: 770-532-7179    Fax: 770-534-1312
Emily K Gillum, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 743 Spring St Ne, Gainesville, GA 30501
Phone: 770-532-7179    Fax: 770-534-1312

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.