Nicholas E Clark, in South Charleston, WV - Medicare Certified Registered Nurse Anesthetist (crna)

Nicholas E Clark, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in South Charleston, West Virginia. He graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Professional Anesthesia Service,inc. and his current practice location is 4605 Maccorkle Ave Sw, South Charleston, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 766-3600.

Nicholas E Clark is licensed to practice in West Virginia (license number 118087) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316430564.

Contact Information

	Nicholas E Clark,
	4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311
	(304) 766-3600
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicholas E Clark
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	7 Years
Location	4605 Maccorkle Ave Sw, South Charleston, West Virginia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicholas E Clark graduated from nursing school in 2018

NPI Data:

NPI Number: 1316430564
Provider Enumeration Date: 06/12/2018
Last Update Date: 06/12/2018

Medicare PECOS Information:

PECOS PAC ID: 7416206065
Enrollment ID: I20180815002652

Medical Identifiers

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

Identifier	Type	State	Issuer
1316430564	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	118087 (West Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Thomas Memorial Hospital	South charleston, WV	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Professional Anesthesia Service,inc.	2769387190	45

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. Nicholas E Clark allows following entities to bill medicare on his behalf.

Entity Name	Professional Anesthesia Service,inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720035827 PECOS PAC ID: 2769387190 Enrollment ID: O20031126000731

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. Nicholas 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
Nicholas E Clark, 110 Roane St, Charleston, WV 25302-2334 Ph: (304) 344-0096	Nicholas E Clark, 4605 Maccorkle Ave Sw, South Charleston, WV 25309-1311 Ph: (304) 766-3600

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in South Charleston, WV

Lindsey Rubenstein, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600
Bradley S. Persinger, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 80 Rockcrest Dr, South Charleston, WV 25309 Phone: 304-542-3927 Fax: 304-768-2468
Tammy L Cunningham, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600
Jessica Smith, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Angus E Peyton Dr, South Charleston, WV 25303 Phone: 304-746-2088
Mary E. West, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600
Marnie E. Edwards, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3600

Nicholas E Clark, - Medicare Certified Registered Nurse Anesthetist (crna) in South Charleston, WV